SCOTUS = Supreme Clowns Of The US
I read the article and must admit that I am still confused.
Ms Minton scheduled a hysterectomy so I assume that Ms Minton has a uterus and the Ms Minton is transitioning from a biological female to something that has the outward appearance of a male.
Alternatively, Mr. Minton is a biological male who is so deeply into his fantasy of being a woman that he is afraid of getting pregnant and prefers the option of the hysterectomy (including non-existent uterus and ovaries).
I see nowhere in the article that Mr/Ms Minton is carrying the burden of a mental illness although I did note that when informed of the hospital’s decision, Mr/Ms Minton ‘collapsed to the ground’. Not much drama there. /sarc