Sal was born male but diagnosed with gender identity disorder. As a result, he suffered persistent psycho-logical discomfort with his gender and decided to have a sex-change operation. As part of the treatment regimen, Sal had to undergo various hormonal treatments for several years, followed by a period in which he changed his name to Sally and lived for two years as a female before finally having gender-reassignment surgery in 2014. Is Sally entitled to a medical deduction for the costs of the hormone treatment, surgeries, and related expenses?