You should know the facts because Kamala Harris is lying.

The first sex change surgery of a federal inmate occurred in 2022 under Kamala Harris. 

The ACLU announced in 2022: "Cristina Nichole Iglesias will become the first person to receive gender-affirming surgery while in federal custody under a landmark settlement agreement approved on Tuesday by a federal court in Illinois. The settlement between Ms. Iglesias and the Federal Bureau of Prisons (BOP) successfully ends a years-long battle for Ms. Iglesias, a transgender woman who filed suit in 2019 after BOP repeatedly denied her requests for medically necessary gender-affirming healthcare... In the settlement agreement, BOP confirmed that it has never before provided any gender-affirming surgery to an individual in federal custody."

Additionally, Kamala Harris told the ACLU that she supports taxpayer funded sex change surgeries for inmates and illegal immigrants.

Harris also said in a 2019 interview that she worked "behind the scenes" to make sure "every" inmate has access to sex change surgeries.