Career criminal Cristina Iglesias mailed fake anthrax to British Commonwealth and Foreign Office in 2002:Iglesias, 47, is set for release on Christmas Day, but wants the surgery before that time—and Rosentengel is ordering the Bureau of Prisons to find a surgeon to carry out the sex change. Cost estimates for the surgery itself vary widely. Some hospital estimates reach six figures, while the Philadelphia Center for Transgender Surgery pegs the figure at about $25,000. Pricey quality-of-life care is required for years after the surgery, running about $40,000 annually in the first five years, according to a 2015 study from the Johns Hopkins Bloomberg School of Public Health. The cost falls to $10,000 per year after a decade.
