After Jonathan Littleton's death, Christie Littleton brought a
medical malpractice suit against her husband's doctor, Mark Prange. The defense attorney argued that the marriage was invalid because Christie was a biological male. On appeal, Chief Justice
Phil Hardberger relied on the fact that "Texas statutes do not allow same-sex marriages" and that "male chromosomes do not change with either hormonal treatment or sex reassignment surgery" in handing down his judgment that "Christie Littleton is a male. As a male, Christie cannot be married to another male. Her marriage to Jonathan was invalid, and she cannot bring a cause of action as his surviving spouse." The decision made it legal for a
cis woman to marry a trans woman who had undergone sex reassignment surgery and transitioned to female as long as the two partners were assigned opposite sexes at birth. ==In fiction==