Either you believe SRS "is medically indicated and medically necessary. Sex reassignment is not 'experimental,' 'investigational,' 'elective,' 'cosmetic', or optional in any meaningful sense. It constitutes very effective and appropriate treatment for transsexualism or profound GID" - (WPATH Standards of Care) or you don't. If it is medically indicated and necessary, that includes prisoners. Withholding medical care to prisoners is not only unethical, it's immoral.