A federal judge has ruled that the Bureau of Prisons (BOP) must provide sex change procedures to Brian Buckingham, a 47-year-old inmate convicted of sexually abusing his 10-year-old son and producing child sex abuse images, according to Breitbart. Buckingham, serving over 21 years in prison, began identifying as transgender and using the name “Nani Love” shortly before sentencing.

Buckingham’s legal team contended that withholding sex change treatments, like hormone therapy, worsened his depression and suicidal thoughts, and that these procedures were medically necessary to treat his gender dysphoria. They argued that denying him access violated his Eighth Amendment rights against “cruel and unusual punishment.”

Magistrate Judge David Christel found Buckingham “likely to succeed” in his claim after BOP initially acknowledged but later discontinued his requests for gender-affirming care without explanation. U.S. District Judge Ricardo Martinez adopted this recommendation and ordered that Buckingham receive consultations within 30 days for laser hair removal, facial feminization surgery, and voice therapy.

The BOP objected, seeking to dismiss or delay the case pending resolution of a related class-action lawsuit challenging prior restrictions on transgender medical treatments in federal prisons. Despite Buckingham’s conviction, his lawyers insist he should have full access to transition-related care during incarceration.

This decision reflects ongoing legal battles over transgender inmates’ claimed rights to gender-affirming treatments while in prison, with courts increasingly recognizing these procedures as medically necessary to prevent harm from untreated gender dysphoria.

According to Breitbart, “the BOP objected to the ruling and asked the court to dismiss or delay the Buckingham case until a final verdict is reached in Kingdom v. Trump, a separate class-action lawsuit filed by transgender-identifying inmates challenging the Trump administration’s restriction on sex change drugs and surgeries in federal facilities. Buckingham’s attorneys argued that he faces ‘irreparable harm’ if he does not have access to sex change measures.”