By the time Richard Anumene was approved for gender reassignment surgery, he had accumulated a litany of mental health problems his attorney argues should have disqualified him from the procedure.
Still, in March 2021, Anumene—who had changed his name to Rika Ila Abbir—underwent a series of operations that left him with what some call only an imitation of female sex organs and a sinking feeling of regret for the now 28-year-old.