Alaska trial date approaches for ‘transgender’ inmate suing for state-funded penis and testicle removal and vaginoplasty surgery

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The unusual case of Wagoner v. Dahlstrom et al. is scheduled for trial on May 12 in the U.S. District Court for the District of Alaska.

The plaintiff, Emalee Wagoner — born Emmanuel Cancel — is a biological male who says he identifies as female. Currently incarcerated at Goose Creek Correctional Center, a men’s prison, Wagoner is serving a 40-year sentence for multiple child sexual abuse convictions.

He is now suing the State of Alaska for allegedly failing to provide “gender-affirming surgery” while he serves his prison term.

The lawsuit names former Alaska Department of Corrections Commissioner Nancy Dahlstrom (now Lieutenant Governor) and other DOC officials, alleging deliberate indifference to Wagoner’s “serious” medical needs, particularly treatment for gender dysphoria.

In 2017, Cancel legally changed his name to Emalee Wagoner, but he has remained incarcerated in a male facility. The lawsuit, filed in 2018, seeks damages, declaratory relief, and injunctive relief. Wagoner claims repeated denials of hormone replacement therapy (HRT) from 2016 through 2022, in violation of what he says are medical standards for treating gender dysphoria.

Court documents reference the 2017 Gender Dysphoria Clinical Care Guide and assert that the DOC failed to enforce policies ensuring necessary care for transgender inmates. Wagoner argues this inaction exacerbated his condition, led to self-harm, and constituted a violation of his Eighth Amendment rights.

At one point, he attempted to castrate himself, allegedly to gain transfer to a women’s prison or to seek early release.

The defendants, including Dahlstrom and former DOC Health and Rehabilitation Services Director Laura Brooks, maintain that they were not deliberately indifferent. They point to the 2017 care guide and the implementation of Policy & Procedure 807.23 in July 2022 as evidence of efforts to address gender dysphoria within the prison system.

One of the legal questions before the court is whether vaginoplasty — a surgery that constructs a vaginal canal using penile or other tissue, such as colon tissue — is medically necessary in Wagoner’s case. Such procedures, which can cost between $20,000 and $100,000, are among the most complex and controversial forms of gender-affirming care. While some legal precedents exist, such as Edmo v. Corizon, Inc. (2019), which found the denial of surgery unconstitutional, the current case will test those boundaries further.

Notably, the court documents and filings refer to Wagoner as female. However, for biological accuracy, this article refers to Wagoner using male pronouns.

Wagoner’s criminal record raises additional complexities in the case. As Emmanuel Cancel, he was indicted in 2011 on 45 counts related to the sexual abuse of minors. Victims ranged in age from 7 to 20. According to court documents, Cancel threatened to kill his victims if they disclosed the abuse. Prosecutors say he heightened their fear by boasting of fictional murders, using physical violence, and supplying them with drugs — including marijuana, crack, and methamphetamine — to coerce their silence.

The news report of his sentencing describes the intense trauma experienced by his victims.

“Wagoner would tell the children stories of all of the murders she committed and how she would dispose of the bodies in order to elevate the fear experienced by the children. In addition, the children thought this threat was legitimate due to the level of violence Wagoner displayed in the household, including slamming the children’s heads against the wall, whipping them with a belt, and beating their mother. She also provided them with marijuana, cocaine, crack, and meth as a bribe to keep them quiet,” the State brief explains (embedded below).

“From the date of her arrest in 2011 until around August 2016, Wagoner continued to identify as a man and made no claims as to a diagnosis of gender dysphoria. However, starting in August 2016, she started to communicate with her then-alleged fiancé that she was contemplating attempting to perform a self-surgery by cutting off her penis and genitals. It appears that the motivation for this was either to be released from prison or to be transferred to a women’s prison. In August 2016, she attempted self-surgery. Initially, she claimed that it was an accident. Later, she changed her story and claimed that she was attempting a gender-affirming surgery. On one other occasion, Wagoner re-injured her penis which required elevated medical attention at Mat-Su Regional Medical Center,” the State asserts.

After his purported efforts at self-surgery, Wagoner began to demand gender-affirming care in the form of everything from breast augmentation to voice alteration therapy, and finally testicle and penis removal and construction of a vagina, the State explains. The State Department of Corrections, beginning in 2017, tried to accommodate some of Wagoner’s demands, after diagnosis of his gender dysphoria by a third-party provider.

“These efforts, increasing in concert with Wagoner’s regular appointments with the facilities’ mental health staff, initially included medication, the provision of feminine hygiene products to Wagoner and ensuring the availability of certain cosmetics, feminine undergarments, and grooming devices through the commissary. During this time, Wagoner was often less than cooperative and declined to follow the recommended treatment plan,” the State explains.

Wagoner’s complains that despite multiple requests for treatment and five documented denials of HRT, the DOC refused to provide transgender-related care unless his condition became “life-threatening.”

Wagoner now seeks a preliminary and permanent injunction requiring the DOC to provide medical and mental health treatment in line with the World Professional Association for Transgender Health (WPATH) standards –guidelines that the Trump Administration has criticized as lacking scientific rigor.

The current case draws parallels to the 2019 Ninth Circuit decision in Edmo v. Corizon, Inc., which ruled that denying gender confirmation surgery to a transgender inmate violated the Eighth Amendment.

Last week, the Justice Department reversed actions taken under the Biden Administration regarding gender dysphoria claims by inmates who claimed a constitutional right to transgender surgeries provided by taxpayers.

The Justice Department’s Civil Rights Division, now headed by Assistant Attorney General Harmeet Dhillon, withdrew a prior statement of interest in Doe v. Fuller v. Georgia Department of Corrections and submitted a new statement of interest in Fuller v. Georgia Department of Corrections. The filings, in the US District Court for the Northern District of Georgia, address claims brought by inmates seeking taxpayer-funded, elective surgeries as treatment for gender dysphoria.

Details in that case are here:

28 COMMENTS

  1. Well done Democrats, you all own this steaming, stinking pile of sin. Without your demonic delusions this wretched, pathetic, damaged person could have been saved. But no, you just had to have your demonic dreams come true. Good luck with that.

    • Amen, this is a “choice”….We (the taxpayers) SHOULD NOT be funding this surgery.
      He can option it and pay for it…like any of us would have to do if we were wanting an elective procedure.
      Treat the mental illness, not provide taxpayer funded stupidity…

  2. This MAN needs to be in a mental institution. HIS demonic desires should not be paid for with our money.
    Based on the definition of dysphoria, we should not by into HIS mental illness.

    dys·pho·ri·a
    /disˈfôrēə/
    noun PSYCHIATRY
    noun: dysphoria
    a state of unease or generalized dissatisfaction with life.
    “adolescents with depression, dysphoria, mania, and anxiety disorders”

  3. HE should be free to get anything he wants lopped off, but there is zero reason for you and I to pay for it.
    If HE wants to have his born-with equipment lopped off by a surgeon, HE can pay for it himself.
    .
    There is no sane reason on earth that tax payers should be forced to pay for it.

  4. We have the means to help this poor mentally deficient fool to remove e those items. Do I have to draw it our for the state. I am sure we could get some volunteers to cut off the items at no charge

    • Except HE is asking for a penis AND a vagina (he can’t get a vagina because he already has a penis)

      I say that he just gets a castration with no anesthesia.

  5. Another show and tell courtroom drama. “Pants down please. We need to verify the truth of the matter asserted.”
    Law school students in 2032 will be reading and laughing at the case.

  6. Gender Identity Disorder is a psychological disorder that requires psychological treatment. Thousands of doctors hold this opinion. Thousands more are afraid to speak out about it, because they know they could lose their careers. That a case so absurd is actually in our courts at all illustrates the utterly pathetic state of our society.

  7. The removal of his penis and testicles can be accomplished at no cost to the State. Just put him into genpop and let the other inmates get it done.
    .
    The installation of a vagina? Bit trickier…

    • They dont have the cahones to admit they support the inmates request for a vagina but they will cry all day long insisting the taxpayers should pay for it since he has been incarcerated for his evil deeds.

  8. “……cutting off HER penis and genitals….”🤡🤡🤡🤡. This is one deranged lunatic pedophile the prison population did not handle from within.

  9. I am a bit confused about why this person thinks he can demand anything, after abusing children. Dude is lower than a snake’s belly in a wagon wheel rut, and there he is shaking his little fist at the world. He doesn’t think he is a woman or he would not have abused those kids. He is a pedophile and a creep, and that really isn’t fixable. He should serve his time and never be accepted into civilized society again.

  10. After reading the details of how it treated it’s victims I am thinking a frontal lobotomy request would be a more appropriate solution to “its condition”.

  11. So, diagnosis by a third party (exactly who is that?) makes it possible for a criminal to demand ANY kind of medical treatment he wants and gets to go to court to get what he wants? Birch, Horton, Bittner and Cherot should be ashamed of themselves allowing the law to be used in this manner. Corruption runs deep in our state and needs DOGEing. Let’s get it done.

  12. Thank you for posting the source documents. The legacy no longer does that, and doesn’t even give much detail that doesn’t match their spin. Your approach has a lot more credibility and transparency.

  13. Man gets his taxpayer-funded surgery, overdoses on hormones, gets buyer’s remorse, offs himself and/or another mutant like himself, remind again why taxpayers/victims should care?

  14. Where are the gang of Marxist who support the delusional?

    Whidbey?
    Frank?
    RINO?
    Sebastian?

    Come on, we want to read your lame excuses.

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