Anyone who requires a lifetime of mutilating surgery and hormone treatments to avoid depression, self-harm, or suicide, is both ill and worthy of compassion. Yet the approximately 1-2% of Americans who suffer gender dysphoria - along with and their progressive allies - continue to pummel the 80% who reject the edict that a person's sex may be determined by thoughts. An upcoming Supreme Court decision may address the legal issues in this contentious struggle, if not the attendant moral and ethical questions.