Eight judges appointed by Democrats advanced the cause of transgender surgery, bringing it closer to being considered a constitutional right through a recent decision in a federal appeals court. None of the Democrat-appointed judges aligned with the six judges appointed by Republicans who strongly opposed the court’s ruling, revealing the growing importance of transgender rights as a litmus test for progressive Democrats. The majority decision in the Fourth Circuit federal appeals court stated that laws prohibiting sex discrimination also prohibit denying transgender surgeries in state-run healthcare programs. The decision, which could be reviewed by the Supreme Court, has sparked debate among judges and politicians, with Republicans criticizing it as an overreach of judicial power and Democrats advocating for transgender rights. Transgender advocates argue that the federal government should support individuals’ gender identity over their biological sex, while critics point out concerns about the impact of transgender ideology on society. The issue of transgender rights continues to divide the nation, with various legal and ethical implications at stake.