Zyst v. Miller

346 Or. App. 801
CourtCourt of Appeals of Oregon
DecidedFebruary 4, 2026
DocketA183152
StatusPublished
Cited by1 cases

This text of 346 Or. App. 801 (Zyst v. Miller) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zyst v. Miller, 346 Or. App. 801 (Or. Ct. App. 2026).

Opinion

No. 62 February 4, 2026 801

IN THE COURT OF APPEALS OF THE STATE OF OREGON

TARA ELLYSSIA ZYST, Plaintiff-Respondent, v. Jamie MILLER, Defendant-Appellant. Malheur County Circuit Court 19CV19556; A183152

Jenefer Stenzel Grant, Senior Judge. Argued and submitted July 23, 2025. Kyleigh Gray argued the cause for appellant. Also on the opening brief were Ellen F. Rosenblum, Attorney General, and Benjamin Gutman, Solicitor General. Also on the reply brief were Dan Rayfield, Attorney General, and Benjamin Gutman, Solicitor General. Margaret Huntington argued the cause for respondent. Also on the brief was Equal Justice Law. Before Kamins, Presiding Judge, Jacquot, Judge, and Armstrong, Senior Judge. KAMINS, P. J. Cellmate and psychiatric care orders reversed; otherwise affirmed. 802 Zyst v. Miller Cite as 346 Or App 801 (2026) 803

KAMINS, P. J. Defendant, the Superintendent of Snake River Correctional Institution (SRCI), appeals a general judg- ment and orders granting in part and denying in part plain- tiff’s petition for habeas corpus relief. After a habeas trial, the court determined that defendant’s medical treatment of plaintiff’s gender dysphoria and the decision to house plaintiff in a form of segregated housing referred to as the Intensive Management Unit (IMU) violated state and fed- eral constitutional prohibitions against cruel and unusual punishment and unnecessary rigor. In addition to the relief granted in the general judgment, the court granted plaintiff other relief, including an order to provide a psychiatric eval- uation of plaintiff and orders related to finding an appropri- ate cellmate. On appeal, defendant raises four assignments of error. The first two concern defendant’s medical treatment of plaintiff’s gender dysphoria. As explained below, we affirm the court’s determination that defendant’s treatment of plaintiff’s gender dysphoria inflicted cruel and unusual punishment and violated the prohibition against unneces- sary rigor. Under the third assignment of error, we do not address whether housing plaintiff in the IMU violated the state constitutional prohibition against unnecessary rigor because defendant does not challenge the court’s ruling that it inflicted cruel and unusual punishment. Under the fourth assignment of error, which concerns remedies, we agree with defendant that the court’s cellmate and psychi- atric care orders exceeded the scope of permissible relief for the harms identified in this case. We therefore reverse those orders but otherwise affirm the general judgment and the orders at issue in this appeal. I. STANDARD OF REVIEW We review a court’s judgment granting habeas cor- pus relief for errors of law. Alexander v. Gower, 200 Or App 22, 24, 113 P3d 917 (2005), rev den, 340 Or 34 (2006). “To the extent that the trial court’s factual findings are sup- ported by evidence in the record, those findings will not be disturbed.” Id. 804 Zyst v. Miller

II. FACTS After a 1995 conviction for two counts of aggravated murder, plaintiff began serving her sentence in the Oregon Department of Corrections (ODOC). Plaintiff is currently serving a life sentence. Plaintiff identifies as female and has changed her name to suit her gender identity. She is transgender and has been diagnosed with gender dysphoria. As a result of her gender dysphoria, plaintiff has attempted suicide and engaged in acts of self-harm. In May 2019, plaintiff commenced a habeas corpus proceeding which advanced five claims. Only two of them are at issue here: those relating to the medical treatment of plaintiff’s gender dysphoria and the decision to house plaintiff in the IMU.1 In her third and fifth claims, plain- tiff alleged that defendant’s medical treatment of her gen- der dysphoria and the failure to provide adequate conditions of segregation violated constitutional prohibitions against cruel and unusual punishment and unnecessary rigor. At her habeas trial in October 2023, plaintiff testi- fied, and her witnesses included a psychiatrist, Dr. Caroline Fisher, as well as two psychologists who testified by decla- ration. On behalf of defendant, the court heard testimony from Captain William King, the Prison Rape Elimination Act (PREA) Compliance Manager at SRCI; Greg Jones, the Interim Administrator of the Office of Population Management and Chair of the Transgender and Intersex Committee (TAIC) for ODOC; Christy Hutson, an assistant administrator of ODOC Behavioral Health Services (BHS); Dr. Warren Roberts, the medical director of ODOC; and Krystal Lentz, a registered nurse who worked for ODOC. A. Medical Treatment of Plaintiff’s Gender Dysphoria In her testimony, Fisher explained the symptoms of gender dysphoria for a transgender woman. Such symptoms include feelings of frustration with her masculine appear- ance, her masculine voice, and her male body and generally 1 Plaintiff withdrew her first claim for relief, which challenged prison mea- sures to prevent the spread of the COVID-19 pandemic. After trial, the court denied plaintiff’s second and fourth claims, which alleged failure to protect plaintiff and inappropriate discipline, and plaintiff has not challenged those rul- ings on appeal. Cite as 346 Or App 801 (2026) 805

involve feeling “uncomfortable with your gender expression as it exists right now.” The risks of gender dysphoria include suicide and self-harm. According to Fisher, plaintiff had “attempted sui- cide 19 times, 18 of which have been while in DOC custody, the most recent of which have been in the past six months.” Plaintiff herself testified that she tried to kill herself in late July 2023 by taking all her medication at once “and it was mainly because I have hair on my body that constantly annoys me that shouldn’t be there.” For the standard of care for treatment of gen- der dysphoria, Fisher relied on guidelines from the World Professional Association of Transgender Health (WPATH). Fisher acknowledged that defendant provided plaintiff with some forms of treatment recommended by the WPATH guidelines, including hormone therapy, the ability to pur- chase mascara and makeup, and defendant also provided constriction undergarments, breast forms, written materi- als regarding vocal feminization, and defendant approved plaintiff for use of an electric razor. In October 2022, plain- tiff participated in a surgical consultation with a doctor at OHSU regarding a vulvoplasty or vaginoplasty, and ODOC’s Gender Non-Conforming Therapeutic Level of Care (GNC- TLC) committee approved plaintiff for surgery. However, by the time of trial, the surgery had not been scheduled because the waitlist was long. In addition, Fisher testified about other kinds of treatment that plaintiff was seeking but had not received, including permanent hair removal, wigs, shapewear, vocal training, facial feminization surgery, surgeries to achieve “a more feminine shape,” a hair transplant, and a change in hormonal medication. In her testimony, plaintiff confirmed that she sought those treatments and that she would “accept an independent assessment” to determine which kinds of treatment or therapies were most appropriate in her case. Fisher testified that there are “400 different sur- geries listed as possible surgeries in the WPATH guide- lines, as well as probably a greater number of behavioral interventions of varying kinds.” When asked which forms 806 Zyst v. Miller

of treatment were medically necessary for plaintiff, Fisher explained, “If we’re talking about WPATH standards, the answer is potentially all of them. It is very much individualized— WPATH really recommends a very much individualized assessment of the gender dysphoria, the areas which are particularly meaningful or problematic to the individual, and then using a norm-validated scale following the effec- tiveness of each intervention. “Q And so sitting here today, are you able to provide that individualized assessment for Ms.

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Zyst v. Miller
346 Or. App. 801 (Court of Appeals of Oregon, 2026)

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346 Or. App. 801, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zyst-v-miller-orctapp-2026.