He was convicted in 1992 and sentenced to life in prison without the possibility of parole.
"In this case Kosilek has proven that he still has a severe gender identity disorder. Although female hormones have helped somewhat, he continues to suffer intense mental anguish because of his sincere and enduring belief that he is a female trapped in a male body," Wolf wrote, citing the U.S. Constitution's Eighth Amendment protection against cruel and unusual punishments.
Wolf noted that the corrections department had fired a doctor who recommended that Kosilek receive the surgery and had hired a social worker who was known to consistently recommend that inmates did not have the procedure.
Wolf did not explicitly set a timetable for Kosilek's surgery, saying it was up to the state to determine who should perform the operation and in which facility.
A spokeswoman for the Department of Correction said it was reviewing the decision and exploring the possibility of an appeal.
The case is Kosilek vs. Spencer, U.S. District Court, District of Massachusetts, No. 00-12455.
(Reporting By Ben Berkowitz; Editing by Paul Simao)
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