A federal appeals court has ruled that Idaho must pay for a transgender inmate’s surgery.

Thirty-one-year-old Adree Edmo is a convicted sex offender who is scheduled to be released from jail in 2021. The sex offender was diagnosed with gender dysmorphia in 2012, identifies as a woman, and is currently housed in a men’s prison, according to CBS News.

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Five other inmates in Idaho have also requested sex change surgery since the beginning of 2019, CBS reports, according to the Idaho Department of Correction.

“They certainly would treat a prisoner with cancer, they treat a prisoner with diabetes, or other chronic conditions,” Edmo’s attorney Deborah Ferguson said, CBS reports. “So, we have a medically recognized condition that’s very treatable and we have been trying to get her the treatment that she very much needs.”

Ferguson has said that Edmo is at risk of self harm if the surgery is postponed.

A court put Idaho on a deadline to pay for Edmo’s reassignment surgery by mid-June, but Idaho appealed the decision. The state’s appeal has already cost Idaho more than $35,000, according to CBS.

The court of appeals said Friday that denying Edmo the surgery is cruel and unusual punishment and a violation of the U.S. Constitution, and ruled Tuesday that Idaho must pay for the sex offender’s surgery.

“The court’s decision is extremely disappointing,” said Idaho Gov. Brad Little in a statement, CBS reports. Little intends to appeal the decision to the United States Supreme Court.

“The hardworking taxpayers of Idaho should not be forced to pay for a convicted sex offender’s gender reassignment surgery when it is contrary to the medical opinions of the treating physician and multiple mental health professionals.”

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