It seems strange because I found this:
http://intraa.tgcrossroads.org/connections/story/?iid=41&aid=1035The Internal Revenue Service has concluded that a transsexual woman represented by Gay & Lesbian Advocates & Defenders (GLAD) may deduct expenses for sex reassignment surgery as a necessary medical expense. The decision overturned a tax examiner's refusal to allow Rhiannon O'Donnabhain's claimed deduction because he viewed her sex reassignment surgery as "cosmetic".
(2005)
Then this:
IRS disallows a woman's tax deduction for SRS - citing teachings in a Catholic religious journal as a basis for its decision
http://ai.eecs.umich.edu/people/conway/TS/Legal%20Issues/Taxes/IRS%20SRS%20Rulings.htmlOn October 15, 2005, the IRS stated in Chief Counsel Advice 200603025 that a woman's transsexual sex reassignment surgery would not be allowed as a deductible medical expense. The statement was posted in the official IRS website on January 10, 2006 [1], and reported in "TaxProf-Blog" on January 23, 2006 [2].
Tax deductions for SRS have been quietly allowed for many decades, and affirmed in appeals when IRS examiners occasionally attempted to deny them. This latest ruling is being appealed and has no precedential value for other cases. Therefore, most attorneys will advise people now transitioning to simply be aware that if they take the deduction and are ever audited (which of course is pretty rare), they'll have to show that the surgery or other medical treatments were medically necessary in their individual case.
IRS vs. Transgender People
http://newyorklawschool.typepad.com/leonardlink/2006/01/irs_vs_transgen.htmlIRS described as "controversial" the question whether GRS is "a treatment for an illness or disease." To date there is no case law, regulation, or revenue ruling deciding this question in the tax context. "In light of the Congressional emphasis on denying a deduction for procedures relating to appearance in all but a few circumstances and the controversy surrounding whether GRS is a treatment for an illness or disease, the materials submitted do not support a deduction. Only an unequivocal expression of Congressional intent that expenses of this type qualify under section 213 would justify the allowance of the deduction in this case. Otherwise, it would seem we would be moving beyond the generally accepted boundaries that define this type of deduction."
IRS Denies Medical Expense Deduction for Costs of Gender-Reassignment Surgery
http://taxprof.typepad.com/taxprof_blog/2006/01/irs_no_medical_.htmlPosted on: July 17, 2007, 14:15:01
Bumping due to renewed interest in the topic by others.