Real-Life Sophia Bursets: Transgender Women Face a Nightmare in Men’s Prisons

Author’s Note from Mey: The problem isn’t trans women being placed in men’s prisons, or trans prisoners being denied medical treatment, the problem is the entire system. There are no good cops or good prisons, all of them work towards the goal of White supremacy and terrorizing, torturing, locking up, and murdering Black people. Police and prisons must be abolished now.

The clear breakout star of Netflix’s new series Orange is the New Black is actress Laverne Cox who plays Sophia Burset, a transgender woman serving time along with all the other prisoners in the fictional Litchfield Correctional Facility in New York. At one point, Sophia is denied her hormone therapy, highlighting the problem that trans women in general, and especially in prison, of have in getting proper medical care. Sophia is the rare example of a trans woman in prison who actually gets to be incarcerated with other women. The horrifying reality of the situation is that trans people are almost always put in prison with inmates that match their gender assigned at birth. This not only leads to lack of proper medical care, but also mental anguish, increased rates of harassment and violence and shockingly high rates of sexual abuse. For trans women who are locked up, getting access to medical care and safety from the guards and inmates is a serious problem. But the problem starts when they are put in prisons designed for men.

Perhaps the most high profile recent case of a trans woman being sent to prison is CeCe McDonald. In June of 2011, McDonald, an African American woman, and a group of friends were walking past a bar when a group of white men started hurling racist, homophobic and transphobic insults at them. A fight broke out and McDonald had a glass broken in her face and needed 11 stitches. She and her friends tried to get away, but were followed and the main attacker, Dean Schmitz, was fatally stabbed with a pair of scissors. Despite Schmitz’ history of violent crime and affiliation with white supremacist groups, McDonald was charged with second-degree murder but pleaded down to manslaughter. She was sentenced to 41 months in the men’s prison in St. Cloud, Minnesota. As soon as she was arrested, McDonald had little hope of being placed in the correct prison. According to Katie Burgess, the executive director of the Trans Youth Support Network, “there’s really no history of transgender people being placed according to their gender identity.”

The National Center for Lesbian Rights says that transgender prisoners who have not undergone gender confirmation surgery are placed according to their assigned gender at birth. This means that all trans women who do not want bottom surgery or are unable to obtain it are forced to live in men’s prisons.  Given the fact that it is extremely difficult for many transgender people, and especially transgender women of color, to get steady jobs and housing, getting gender confirmation surgery is something that often remains out of reach. And it is trans women of color who are most often targeted by police. The National Center for Transgender Equality shows that 21% of transgender women and nearly half of all black trans have been incarcerated at least once in their lives. This is compared to 2.7% of the overall population. The surgery requirement leaves trans prisoners, and especially trans women, incredibly vulnerable to sexual harassment and assault.

A men’s prison is a dangerous place for a woman. According to a Department of Justice study, more than 1/3 of transgender inmates was sexually abused and that trans women are more than 13 times more likely to be sexually assaulted while in prison than cis women. The frightening reality is that when trans women are arrested, they go from a world where they are already disproportionately the victims of violent crimes to a world that is perhaps even more dangerous. This is a bleak picture, and one that could very likely be improved at least somewhat if trans women were simply allowed to live in the proper prisons.

Trans women who are forced to live in men’s prisons also have to face the humiliation of having to pretend to be the wrong gender. In many prisons, trans women are forced to cut their hair and are not allowed any gender appropriate clothes. For many trans women who already might suffer from depression and/or dysphoria, this is another burden they are forced to bear. Report after report has found that trans people suffer higher rates of harassment, bullying and assault than other inmates, and this especially true of trans women that are forced to live in men’s prisons. For many trans inmates, their greatest hope lies in being placed in Protective Custody, which often only happens after they have been sexually assaulted. Here they are kept away from the rest of the prison population and are usually safe from harm that would come from other inmates. However, they are more vulnerable to assault from guards and prison workers and face social isolation and a lack of activities and educational and vocational training.

For many trans women currently incarcerated in men’s prisons, sexual assault is only one of many problems they have to deal with. Many don’t even have access to the hormones they need to keep their bodies and minds healthy. This is the case with Ophelia De’lonta, a Black trans woman in a Virginia men’s prison. The Virginia Department of Corrections recently ruled that her hormone therapy wasn’t medically necessary and therefore they won’t pay for it anymore. Courts have ruled that prisons must do what they can to keep all prisoners safe and healthy, but trans prisoners have had the burden of proving they are unsafe or have an extreme medical need for hormone therapy placed squarely on their shoulders.

It seems like there are no set rules or guidelines for why trans women who haven’t had bottom surgery are placed in men’s prisons. Prisoners have said that in most cases officers examined their genitals when they were arrested and made the decision based off of that, regardless of their gender identity, other steps they’ve taken in their transition or which prison they would most safe in. Several trans women have tried taking their cases to the courts, hoping that they would be placed in women’s prisons, but they are almost always unsuccessful, due in part to a ruling that says inmates don’t have the right to be placed in any particular prison. Overall, it seems that the Criminal Justice System doesn’t consider trans women who haven’t had bottom surgery to be true women. This creates a nightmare situation where trans women are consistently placed in prisons that are entirely unsafe for them and ill equipped to properly care for them. Until all trans women are seen as the women that they are and their medical needs and safety are considered to be priorities, prison life will continue to be a violent and terrifying experience for far too many trans women.

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Mey Rude is a fat, trans, Latina lesbian living in LA. She's a writer, journalist, and a trans consultant and sensitivity reader. You can follow her on twitter, or go to her website if you want to hire her.

Mey has written 572 articles for us.


  1. This is a fantastic article.

    Ps. Is it just me, or is something missing in this sentence? “The Virginia Department of Corrections recently and therefore they won’t pay for it anymore. “

  2. Thanks for writing this. As much as I love OITNB, it’s a highly idealized version of trans women in prison and, even if a trans woman has had surgery and is in a woman’s prison (and there are states like Idaho and Tennessee where even post-op women are still placed in men’s facilities) the degree of attacks and humiliation by guards and staff is often intense. “Protective custody” is increasingly used for trans women inmates which basically means they’re held in solitary (which is intended to be used on a short-term basis as punishment) for their entire sentence. I always recommend the film “Cruel and Unusual” ( to anyone interested in this subject and their first point of fighting back about this is either the ACLU (which has done wonderful work on behalf of trans inmates) or the TGI Justice Project in San Francisco.

  3. I really enjoyed this article. I love OITNB, but I have a hard time overlooking the inaccurate portrayal of prison life. The struggle that Sophia goes through to obtain proper medications only scratches the surface. Have you found any research on the differences between state and federal facilities when it comes to the care of trans inmates? It would also be interesting to know if there are any states that are changing their practices for safety (and therefore liability) reasons.

      • But would it be realistic to have a FtM person in a woman’s prison? Maybe if he didn’t yet have bottom surgery?

    • From what I have read the practices are the same in state and federal facilities, and if the amount of hormones a prisoner receives if they receive hormones is usually determined by the individual prisons.

      To answer your other question in LA (I don’t know of another one) there is a trans* only prison. I don’t know any more about it other than that it does exist. (I’m a Criminal Justice major with far too much time on her hands.)

      I would love a FTM character on their just to show how it is for those who can’d/dont want surgery fair in prison. (I assumed that Sophia had surgery, but that could have been presumptuous of me)

      Sorry for the long post!

      • pretty sure Sophia confirmed she had bottom surgery when Piper sees her peeing and she says “Its ok to look- I paid a lot for it”.

  4. It’s horrifying that the options for trans* women in men’s prisons and jails are basically sexual assault or solitary confinement (which can have a devastating and long-lasting psychological impact on inmates). Thank you for bringing attention to this issue.

  5. I wonder whether there is anything we can do for trans* women in prison? Obviously there are so many issues and what we really need is legislative change.

    But perhaps there are small things that can be done? Are there things we can send into prisons — like care packages? I don’t have a lot of resources, but if I could even help one woman I think that would be a wonderful thing to be able to do.

  6. I found your article because I was trying to find information on how accurate the portrayal is in OITNB of a transgender man in a woman’s prison, I did not think this was so.
    To me this is an absolute nightmare, I can only imagine the horror faced by these women.
    Thank you for your article and all should be made aware, I will check out the links you’ve posted.

  7. The sad truth is that in prison both men and women are sexually assaulted. The smaller/physically weaker male and female prisoners get abused the most and yes the female inmates have been assaulted by other females using items like broom sticks. Even guards have been raped (which is one of the reasons that in NY jails they do not like placing attractive women to work in the male jails).
    The best way to not be in this situation is to not commit a crime and get your self incarcerated.

  8. We need a Transgender community where all transgender people can come and live in peace and safety. Call it Gendertown.

    No more discrimination. People can live in peace without discrimination based on who they are. They can be happy being free to express themselves and change at any time.

    Transgender is the next step in human evolution.

  9. Hi! In my country the trans population is not as huge as in USA, but for all mtf trans who hasn’t undergone the physical operation of sex ‘reasigment’, they all live in a protected area of the male prison, alongside gay immates. They have female staff too. It’s not perfect but they are more protected. Excuse me if I’m using wrong terms, English is not my native language.
    As far as I know, non-operated ftm trans are in the regular population in female prisons here. Most trans persona who have legally changed their gender has money and are away from jail, like in USA.
    Maybe USA should start protecting mtf trans giving them their own private space, ie bathrooms and dorms, where most assaults happens.
    Keep up the good work!

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