Christine Littleton, a trans woman, loses her negligence case against the doctor who allowed her husband to die. Her marriage is nullified after her husband's death, allowing the Texas State Supreme Court to define their marriage as a same-sex marriage due to her chromosomal sex despite her having received surgical and hormonal affirming therapies and legally transitioned to being a woman.
Defense lawyers argue that she was never married to her late husband because her birth certificate, though now amended to read "female," originally read "male."