Justice Delayed… for a Vacay? Trial in Wrongful Gender Surgery Case Pushed Back
Amanda Stewart’s long-delayed quest for justice — already more than a decade in the making — is being pushed back yet again. The reason: the defense attorney is going on vacation.
Stewart, 40, says she’s the victim of wrongful gender reassignment treatment and surgery that she says ruined her life. Her lawsuit says Dartmouth specialist Dr. John Turco and others pushed her into “gender-affirming” hormone treatments and irreversible surgeries without proper evaluation or consent, destroying her health and her future.
Her lawsuit was finally scheduled for a jury trial this coming May.
But that trial is now off the calendar because Turco’s attorney, Michael Pignatelli, has a scheduling conflict.
“The May 2026 trial dates present an irreconcilable conflict for defense counsel Pignatelli, who is scheduled for a prepaid vacation,” a defense motion states.
Another defense attorney, Greg Peters — representing Monadnock Family Services in Keene — joined the request, citing a separate May trial followed by his own planned vacation.
Judge Jacki Smith of Hillsborough Superior Court – South granted the delay. For Stewart, who says she has already suffered irreversible harm for years, the postponement means more waiting.
Her lawsuit describes lifelong consequences from the care she received.
“(Stewart) will never be able to conceive and bear a child. Even if she could conceive a child, she would never be able to breastfeed her child. She lives in daily pain from the effects of the unnecessary surgeries and years of taking enormous amounts of cross-sex hormones… She cannot get back the life that was stolen from her.”
Stewart claims Turco and other providers ignored established medical guidelines for gender-affirming care, disregarded her significant mental-health struggles, and pushed irreversible interventions beginning in 2007, when she was 22.
The lawsuit states the providers knew she was “mentally fragile and suffering,” and not an appropriate candidate for gender-transition medicalization. It cites a December 2007 letter in which Turco acknowledged his concern that Stewart’s “psychological issues” were more significant than any gender-identity questions.
Stewart, who is autistic, lost her mother at age 14 and struggled with anxiety, depression and isolation through her teens, according to the lawsuit.
After beginning treatment with Turco, Stewart was allegedly placed on extremely high doses of testosterone — at levels above those of biological men — and later underwent a double mastectomy, hysterectomy, oophorectomy, and a procedure to close her vagina.
The lawsuit says those surgeries were performed without the required psychological referrals under the Benjamin criteria. That standard of care requires patients to undergo thorough psychological assessment, demonstrate persistent gender dysphoria, and show emotional and mental stability before any medical intervention.
Instead, both surgeons allegedly noted concerns about Stewart’s mental state before operating.
Stewart experienced multiple mental-health crises while taking testosterone, including hospitalizations at New Hampshire Hospital. Her lawsuit says Turco repeatedly documented that her symptoms improved when she stopped taking the hormone — yet he continued prescribing it at high doses.
Turco did not begin seriously questioning her competency to make decisions about gender treatment until 2016, after nearly a decade of hormone use and surgeries. By then, Stewart had stopped identifying as male.
Psychologist Dr. Carey Bluhm was the first clinician to raise formal concerns in 2019, expressing reservations about further surgeries and noting Stewart’s Asperger’s diagnosis and “delusional events,” according to the lawsuit.
By 2021, Turco began acknowledging that Stewart is a woman despite her surgeries. In 2022, after she was hospitalized for suicidal ideation, he noted that testosterone treatment had caused “complications.”
Stewart is represented by the Texas law firm Campbell Miller Payne.




