A federal judge has ruled against President Donald Trump’s executive order to halt medical procedures for transgender inmates in federal prisons, citing insufficient justification from the Federal Bureau of Prisons (BOP) for altering standard medical protocols. The ruling, issued by U.S. District Judge Royce Lamberth, emphasizes that the BOP must consider medical staff recommendations and follow the Administrative Procedure Act. The decision grants an injunction to three transgender inmates, allowing them to continue receiving care for gender dysphoria, and reinforces the requirement for agencies to avoid arbitrary decisions regarding medical treatments. The White House has criticized the ruling, asserting it undermines women’s safety and challenges the biological truth of gender.