# Drew Adams v. School Board of St. Johns County, Florida

> Court of Appeals for the Eleventh Circuit · December 30, 2022 · 57 F.4th 791

URL: https://www.frixlaw.com/law-library/cases/9351529

## Case

- **Court:** Court of Appeals for the Eleventh Circuit
- **Decided:** December 30, 2022
- **Citations:** 57 F.4th 791
- **Precedential status:** Published
- **Opinion:** Opinion
- **Nature of suit:** ENB
- **Cited by:** 65 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/9351529

## How later opinions describe it (automated extraction)

- concluding that “reading ‘sex’ to include ‘gender identity’” would not “comport with the plain meaning of ‘sex’ at the time of Title IX’s enactment”
- recognizing that an otherwise neutral law still violates the Equal Protection Clause when it is “motivated by ‘purposeful discrimination’”
- stating that the Spending Clause mandates that Congress give “a clear statement when imposing a[ny] condition[s] on federal funding”
- holding that a school’s sex-based bathroom policy did not violate the Equal Protection Clause or Title IX
- noting that if “‘sex’ [were] ambiguous enough to include ‘gender identity,’” then the “carveouts . . . would be rendered meaningless”

## Opinion text

USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 1 of 150

[PUBLISH]

In the
United States Court of Appeals
For the Eleventh Circuit
____________________

No. 18-13592
____________________

DREW ADAMS,
a minor, by and through his next friend and mother, Erica Adams
Kasper,
Plaintiff-Appellee,
versus
SCHOOL BOARD OF ST. JOHNS COUNTY, FLORIDA,

Defendant-Appellant,

TIM FORSON, et al.,

Defendants.
____________________
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 2 of 150

2 Opinion of the Court 18-13592

Appeal from the United States District Court
for the Middle District of Florida
D.C. Docket No. 3:17-cv-00739-TJC-JBT
____________________

Before WILLIAM PRYOR, Chief Judge, WILSON, JORDAN, ROSEN-
BAUM, JILL PRYOR, NEWSOM, BRANCH, GRANT, LUCK, LAGOA, and
BRASHER, Circuit Judges.
LAGOA, Circuit Judge, delivered the opinion of the Court, in which
WILLIAM PRYOR, Chief Judge, NEWSOM, BRANCH, GRANT, LUCK,
and BRASHER, joined.
LAGOA, Circuit Judge, filed a concurring opinion.
WILSON, Circuit Judge, filed a dissenting opinion.
JORDAN, Circuit Judge, filed a dissenting opinion, in which WILSON
and ROSENBAUM, Circuit Judges, joined.
ROSENBAUM, Circuit Judge, filed a dissenting opinion.
JILL PRYOR, Circuit Judge, filed a dissenting opinion, in which ROS-
ENBAUM, Circuit Judge, joined as to Parts I, II, III.A, III.B., III.D.,
and IV.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 3 of 150

18-13592 Opinion of the Court 3

LAGOA, Circuit Judge:
This case involves the unremarkable—and nearly univer-
sal—practice of separating school bathrooms based on biological
sex. This appeal requires us to determine whether separating the
use of male and female bathrooms in the public schools based on a
student’s biological sex violates (1) the Equal Protection Clause of
the Fourteenth Amendment, U.S. Const. amend. XIV, § 1, and (2)
Title IX of the Education Amendments Act of 1972, 20 U.S.C.
§ 1681 et seq. We hold that it does not—separating school bath-
rooms based on biological sex passes constitutional muster and
comports with Title IX.
I. FACTUAL AND PROCEDURAL BACKGROUND
Defendant-Appellant, the School Board of St. Johns County
(the “School Board”), is responsible for providing “proper attention
to health, safety, and other matters relating to the welfare of stu-
dents” within the St. Johns County School District (the “School
District”). Fla. Stat. § 1001.42(8)(a). The School Board maintains
and oversees the K-12 policies for the 40,000 students who attend
the thirty-six different schools within the School District. See gen-
erally id. § 1001.42. Of the 40,000 students attending schools within
the School District, around sixteen identify as transgender.
Plaintiff-Appellee, Drew Adams, is a transgender boy. This
means that Adams identifies as male, while Adams’s biological
sex—sex based on chromosomal structure and anatomy at birth—
is female. Adams entered the School District in the fourth grade as
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 4 of 150

4 Opinion of the Court 18-13592

a biological female and identified as a female. At the end of eighth
grade, however, Adams began identifying and living as a boy. For
example, Adams dressed in boys’ clothing and wore a “chest
binder” to flatten breast tissue. Most pertinently for this appeal,
Adams adopted the male pronouns “he” and “him” and began us-
ing the male bathroom in public.
In August 2015, Adams entered ninth grade at Allen D.
Nease High School (“Nease”) within the School District. Nease
provides female, male, and sex-neutral bathrooms for its 2,450 stu-
dents. The communal female bathrooms have stalls, and the com-
munal male bathrooms have stalls and undivided urinals. In addi-
tion to performing bodily functions in the communal bathrooms,
students engage in other activities, like changing their clothes, in
those spaces. Single-stall, sex-neutral bathrooms are provided to
accommodate any student, including the approximately five
transgender students at Nease, who prefer not to use the bath-
rooms that correspond with their biological sex. The bathrooms
at Nease are ordinarily unsupervised.
The School Board, like many others, maintains a longstand-
ing, unwritten bathroom policy under which male students must
use the male bathroom and female students must use the female
bathroom. For purposes of this policy, the School Board distin-
guishes between boys and girls on the basis of biological sex—
which the School Board determines by reference to various docu-
ments, including birth certificates, that students submit when they
first enroll in the School District. The School Board does not accept
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 5 of 150

18-13592 Opinion of the Court 5

updates to students’ enrollment documents to conform with their
gender identities.
According to the School Board, the bathroom policy ad-
dresses concerns about the privacy, safety, and welfare of students
pursuant to the School Board’s duties under the governing Florida
statute. In line with these concerns, the parties specified the fol-
lowing in their joint pretrial statement:
The parties stipulate that certain parents of students
and students in the St. Johns County School District
object to a policy or practice that would allow stu-
dents to use a bathroom that matches their gender
identity as opposed to their sex assigned at birth.
These individuals believe that such a practice would
violate the bodily privacy rights of students and raise
privacy, safety and welfare concerns.
In 2012, School District personnel began a comprehensive
review of LGBTQ1 issues affecting students. Indeed, the then-Di-
rector of Student Services for the School District attended, and sent
personnel to, national LGBTQ conferences to help inform the
School District about issues affecting the LGBTQ student commu-
nity. The Director conducted significant research on LGBTQ stu-
dent issues, met with LGBTQ student groups at schools through-
out the School District, and contacted school administrators out-
side the School District, as well as a local LGBTQ organization, to

1LGBTQ is an acronym for the phrase “lesbian, gay, bisexual, transgender,
and questioning (and/or queer).”
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 6 of 150

6 Opinion of the Court 18-13592

“gather every bit of information” to “support [LGBTQ] children.”
The Director also convened an LGBTQ task force, which met with
“district administrators, . . . principals, . . . attorneys, . . . guidance
counselors, [and] mental health therapists” to hear “every perspec-
tive” on emerging LGBTQ issues.
The School District’s review of LGBTQ student issues cul-
minated in 2015 with the announcement of a set of “Guidelines for
LGBTQ students – Follow Best Practices” (the “Best Practices
Guidelines”). Under the Best Practices Guidelines, School District
personnel, upon request, address students consistent with their
gender identity pronouns. The guidelines also allow transgender
students to dress in accordance with their gender identities and
publicly express their gender identities. Finally, the guidelines for-
mally note that: “Transgender students will be given access to a
gender-neutral restroom and will not be required to use the re-
stroom corresponding to their biological sex.”
The School Board’s decision to maintain the longstanding
bathroom policy separating bathrooms based on biological sex,
while providing sex-neutral bathroom accommodations for
transgender students under the Best Practices Guidelines, was mo-
tivated, in part, by the issue of gender fluidity in which students
may switch between genders with which they identify. Both the
Best Practices Guidelines and the bathroom policy apply to all
schools with communal bathrooms in the School District, not only
to high schools like Nease.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 7 of 150

18-13592 Opinion of the Court 7

Because Adams is biologically female and first enrolled in
the School District as a female, Adams is identified as a female for
purposes of the bathroom policy. For the first few weeks of ninth
grade, Adams used the male bathrooms (in violation of the bath-
room policy) without incident. However, at some point during
this period, two unidentified students observed Adams using a
male bathroom and complained to school officials. The school
then informed Adams that, under the bathroom policy, Adams had
to use either the communal female bathrooms or the single-stall,
sex-neutral bathrooms. Adams took issue with that directive and,
with parental help, began petitioning the school to change its pol-
icy.
Adams continued the process of identifying as a male, in-
cluding amending government documents with the State of Flor-
ida. For example, shortly before receiving a driver’s license in the
fall of 2016, Adams submitted medical documents to the Florida
Department of Motor Vehicles to receive a male designation on
the license. And, in 2017, while this litigation was pending, Adams
obtained an amended birth certificate with a male designation.
Adams also began taking birth control to stop menstruation
and testosterone to appear more masculine and underwent a “dou-
ble-incision mastectomy” to remove breast tissue. Because Adams
was still just a teenager who had not yet reached the age of ma-
turity, Adams could not undergo additional surgeries to rework ex-
ternal genitalia. Thus, at all times relevant to this lawsuit, Adams
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 8 of 150

8 Opinion of the Court 18-13592

possessed the reproductive anatomy Adams was born with—that
of a female.
On June 28, 2017, after Adams’s efforts to change the School
Board’s bathroom policy failed, Adams filed suit against the School
Board under 42 U.S.C. § 1983, alleging that its bathroom policy vi-
olated both the Equal Protection Clause and Title IX. After a three-
day bench trial, the district court ruled in Adams’s favor on both
counts. The district court enjoined the School Board from prohib-
iting Adams’s use of the male bathrooms and granted Adams
$1,000 in compensatory damages.
The School Board timely appealed the district court’s order.
Following oral argument, a divided panel of this Court affirmed the
district court over a dissent. Adams ex rel. Kesper v. Sch. Bd. of St.
Johns Cnty., 968 F.3d 1286, 1292 (11th Cir. 2020); id. at 1311 (Pryor,
C.J., dissenting). After a member of this Court withheld the man-
date, the panel majority sua sponte withdrew its initial opinion and
issued a revised opinion, again affirming the district court over a
revised dissent but on grounds that were neither substantively dis-
cussed in the initial panel opinion nor substantively made by any
party before the district court or this Court.2 Adams ex rel. Kesper

2Specifically, the revised opinion eschewed addressing Title IX. And, instead,
the revised opinion sua sponte framed Adams’s Equal Protection Clause claim
as a challenge to the School Board’s enrollment documents policy—i.e., the
means by which the School Board determines biological sex upon a student’s
entrance into the School District—and not as a challenge to the School Board’s
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 9 of 150

18-13592 Opinion of the Court 9

bathroom policy—i.e., the policy separating the male and female bathrooms
by biological sex instead of transgender status or gender identity. But this case
has never been about the enrollment documents policy.
This was not the challenge advanced by Adams in the district court. Indeed,
Adams centered the district court litigation on the bathroom policy. For ex-
ample, in Adams’s amended complaint, Adams sought relief for “his exclu-
sion” and denial of “equal access to the boys’ restroom.” Adams specifically
challenged “[the School Board’s] policy of excluding transgender students
from the single-sex facilities that match their gender identity.” Then, in the
joint pretrial statement, Adams sought to recover damages for the harm Ad-
ams suffered “as a result of [the School Board’s] implementation of its discrim-
inatory restroom policy.” In Adams’s proposed findings of fact and conclu-
sions of law, Adams defined the School Board’s purported discriminatory bath-
room policy as “[the School Board’s] policy, custom, or usage, as these terms
are used in 42 U.S.C. § 1983, barring transgender students from the restrooms
consistent with their gender identity.” And because Adams claimed that the
policy “treated [Adams] differently (i) from other boys, who can use restrooms
that match their male gender identity; and (ii) from non-transgender students,
since the policy in effect relegates him to a gender neutral restroom,” Adams
sought to have the district court enjoin the School Board from enforcing a
policy “that denies transgender students access to and use of restrooms that
match a student’s gender identity.”
Ultimately, Adams maintained, until this en banc proceeding after two prior
opinions had been vacated, that this lawsuit was about allowing transgender
students to access bathroom facilities that match their gender identities, not
revising the means by which the School Board determines biological sex.
While Adams now tries to raise a new claim that the enrollment documents
policy violates the Equal Protection Clause because it creates an “arbitrary sex-
based distinction,” Adams cannot amend the complaint by arguments made
in an appellate brief. Cf. Gilmour v. Gates, McDonald & Co., 382 F.3d 1312,
1315 (11th Cir. 2004) (explaining that a plaintiff may not amend the complaint
by argument in an appellate brief).
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 10 of 150

10 Opinion of the Court 18-13592

v. Sch. Bd. of St. Johns Cnty., 3 F.4th 1299, 1303–04 (11th Cir. 2021);
id. at 1321 (Pryor, C.J., dissenting). We then granted the School
Board’s petition for rehearing en banc and vacated the panel’s re-
vised opinion. Adams ex rel. Kasper v. Sch. Bd. of St. Johns Cnty.,
9 F.4th 1369, 1372 (11th Cir. 2021).
Pursuant to our en banc briefing notice to the parties, on ap-
peal the only questions before this Court are:
1) Does the School District’s policy of assigning bath-
rooms based on sex violate the Equal Protection
Clause of the Constitution? and
2) Does the School District’s policy of assigning bath-
rooms based on sex violate Title IX?
II. STANDARD OF REVIEW
“After a bench trial, we review the district court’s conclu-
sions of law de novo and the district court’s factual findings for
clear error.” Proudfoot Consulting Co. v. Gordon, 576 F.3d 1223,
1230 (11th Cir. 2009). A factual finding is clearly erroneous when
the reviewing court “is left with the definite and firm conviction
that a mistake has been committed.” Morrissette–Brown v. Mobile
Infirmary Med. Ctr., 506 F.3d 1317, 1319 (11th Cir. 2007) (quoting
Holton v. City of Thomasville Sch. Dist., 425 F.3d 1325, 1350 (11th
Cir. 2005)).
III. ANALYSIS
On appeal, Adams argues that the School Board’s bathroom
policy violates both the Equal Protection Clause and Title IX. At
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 11 of 150

18-13592 Opinion of the Court 11

its core, Adams’s claim is relatively straightforward. According to
Adams, the School Board’s bathroom policy facially discriminates
between males and females. Adams, who identifies as a male, ar-
gues that the policy violates Adams’s rights because, as a
transgender student, Adams cannot use the bathroom that corre-
sponds to the sex with which Adams identifies. Which is to say,
Adams argues that by facially discriminating between the two
sexes, the School Board’s bathroom policy also necessarily discrim-
inates against transgender students. We disagree with Adams’s
theory that separation of bathrooms on the basis of biological sex
necessarily discriminates against transgender students.3

3 Adams also argues that the appeal of the district court’s order should be clas-
sified as an as-applied challenge to the School Board’s bathroom policy limited
to Adams’s particular circumstances. But that does not help in our resolution
of this appeal because “classifying a lawsuit as facial or as-applied . . . does not
speak at all to the substantive rule of law necessary to establish a constitutional
violation.” Bucklew v. Precythe, 139 S. Ct. 1112, 1127 (2019). Indeed, an as-
applied challenge merely “affects the extent to which” a plaintiff must demon-
strate “the invalidity of the challenged law” or constitutional violation and
“the corresponding ‘breadth of the remedy.’” Id. (quoting Citizens United v.
FEC, 558 U.S. 310, 331 (2010)). But an alleged violation of one individual’s
constitutional rights under the Equal Protection Clause would necessarily con-
stitute a violation of the Equal Protection Clause and the Constitution at large,
regardless of the individually-applied remedy. Further, as we discuss below,
equating “sex” to “gender identity” or “transgender status” under Title IX, as
Adams would have us do as a matter of statutory interpretation, would touch
upon the interests of all Americans—not just Adams—who are students, as
well as their parents or guardians, at institutions subject to the statute. We
therefore do not find merit in Adams’s attempt to cabin the lawsuit to Adams’s
particular circumstances.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 12 of 150

12 Opinion of the Court 18-13592

Indeed, when we apply first principles of constitutional and
statutory interpretation, this appeal largely resolves itself. The
Equal Protection Clause claim must fail because, as to the sex dis-
crimination claim, the bathroom policy clears the hurdle of inter-
mediate scrutiny and because the bathroom policy does not dis-
criminate against transgender students. The Title IX claim must
fail because Title IX allows schools to separate bathrooms by bio-
logical sex. We now begin our full analysis with the Equal Protec-
tion Clause and end with Title IX.4
A. The Bathroom Policy Does Not Violate the Equal Protec-
tion Clause
The Equal Protection Clause provides that no state shall
“deny to any person within its jurisdiction the equal protection of
the laws.” U.S. Const. amend. XIV, § 1. The Equal Protection
Clause is “essentially a direction that all persons similarly situated
should be treated alike,” City of Cleburne v. Cleburne Living Ctr.,
473 U.S. 432, 439 (1985), and “simply keeps governmental deci-
sionmakers from treating differently persons who are in all relevant
respects alike,” Nordlinger v. Hahn, 505 U.S. 1, 10 (1992).
There has been a long tradition in this country of separating
sexes in some, but not all, circumstances—and public bathrooms
are likely the most frequently encountered example. Indeed, the
universality of that practice is precisely what made Justice

4 For purposes of this opinion, unless otherwise indicated, our references to
“the dissent” in this opinion refer to Judge Jill Pryor’s dissent.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 13 of 150

18-13592 Opinion of the Court 13

Thurgood Marshall’s statement—“[a] sign that says ‘men only’
looks very different on a bathroom door than a courthouse
door”—so pithy. City of Cleburne, 473 U.S. at 468–69 (Marshall,
J., concurring in the judgment in part and dissenting in part). Of
course, not all sex-based classifications, no matter how longstand-
ing, satisfy the mandate of the Equal Protection Clause. And it is
well settled that when it comes to sex-based classifications, a policy
will pass constitutional muster only if it satisfies intermediate scru-
tiny. See United States v. Virginia, 518 U.S. 515, 533 (1996). To
satisfy intermediate scrutiny, the government must show “that the
classification serves ‘important governmental objectives and that
the discriminatory means employed’ are ‘substantially related to
the achievement of those objectives.’” Miss. Univ. for Women v.
Hogan, 458 U.S. 718, 724 (1982) (quoting Wengler v. Druggists
Mut. Ins. Co., 446 U.S. 142, 150 (1980)).
For a governmental objective to be important, it cannot
“rely on overbroad generalizations about the different talents, ca-
pacities, or preferences of males and females.” Virginia, 518 U.S. at
533. For a policy to be substantially related to an important gov-
ernmental objective, there must be “enough of a fit between
the . . . [policy] and its asserted justification.” Danskine v. Mia.
Dade Fire Dep’t, 253 F.3d 1288, 1299 (11th Cir. 2001). But the
Equal Protection Clause does not demand a perfect fit between
means and ends when it comes to sex. See Nguyen v. INS, 533 U.S.
53, 70 (2001) (“None of our gender-based classification equal pro-
tection cases have required that the [policy] under consideration
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 14 of 150

14 Opinion of the Court 18-13592

must be capable of achieving its ultimate objective in every in-
stance.”); see also Eng’g Contractors Ass’n of S. Fla. Inc. v. Metro
Dade County, 122 F.3d 895, 929 (11th Cir. 1997) (“[U]nder interme-
diate scrutiny, a gender-conscious program need not closely tie its
numerical goals to the proportion of qualified women in the mar-
ket.”).
In the instant appeal, Adams argues that the bathroom pol-
icy unlawfully discriminates on both the basis of sex and
transgender status. We address both of Adams’s arguments in turn
and hold that there has been no unlawful discrimination.
1. The Bathroom Policy Does Not Unlawfully Discriminate
on the Basis of Sex
The School Board’s bathroom policy requires “biological
boys” and “biological girls”—in reference to their sex determined
at birth—to use either bathrooms that correspond to their biologi-
cal sex or sex-neutral bathrooms. This is a sex-based classification.
Adams challenges the policy’s requirement that Adams must either
use the female bathrooms—which correspond with Adams’s bio-
logical sex—or the sex-neutral bathrooms. Simply put, Adams
seeks access to the male bathrooms, which correspond with the
gender Adams identifies with.
Before reaching the merits of Adams’s argument and the
constitutional question presented in this case, we begin with one
prefatory note: the role that schools have in setting policies for stu-
dents. As the Supreme Court has recognized, constitutional rights,
including “Fourteenth Amendment rights, are different in public
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 15 of 150

18-13592 Opinion of the Court 15

schools than elsewhere” because of “the schools’ custodial and tu-
telary responsibility for children.” Vernonia Sch. Dist. 47J v. Acton,
515 U.S. 646, 656 (1995). Schools operate in loco parentis to stu-
dents and are “permit[ed] a degree of supervision and control that
could not be exercised over free adults.” Id. at 655. This is because,
“in a public school environment[,] . . . the State is responsible for
maintaining discipline, health, and safety.” Bd. of Educ. v. Earls,
536 U.S. 822, 830 (2002).
Indeed, schools’ responsibilities are so great that they can be
held liable for their failures to protect students from sexual assault
and harassment. See, e.g., Miami-Dade Cnty. Sch. Bd. v. A.N., 905
So. 2d 203, 204–05 (Fla. Dist. Ct. App. 2005) (upholding a jury ver-
dict that found a school to be negligent and thus liable for failure
to protect a student from sexual assault by another student in the
bathroom); see also Williams v. Bd. of Regents, 477 F.3d 1282,
1288–91 (11th Cir. 2007) (reversing a district court’s dismissal of a
Title IX claim against the University of Georgia alleging gang rape
by a group of athletes in a university dormitory). Given schools’
responsibilities, the Supreme Court has afforded deference to their
decisions even when examining certain constitutional issues. See,
e.g., Acton, 515 U.S. at 665 (Fourth Amendment); Morse v. Freder-
ick, 551 U.S. 393, 403–08 (2007) (First Amendment); Ingraham v.
Wright, 430 U.S. 651, 671 (1977) (Eighth Amendment).
None of that, of course, is to say that schools have carte
blanche. It is to say, though, that when school authorities have
prudently assessed and addressed an issue that affects student
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 16 of 150

16 Opinion of the Court 18-13592

welfare, we should pay attention. Just so here. In this case, the
School Board has gone to great lengths—as the district court itself
acknowledged—to accommodate LGBTQ students:
Beginning in 2012, the (now retired) Director of Stu-
dent Services worked with LGBTQ students, at-
tended and sent staff to LGBTQ conferences, and re-
searched school policies in other school districts in
Florida and elsewhere to educate herself and the
School District about emerging LGBTQ issues. She
formed a task force which consulted with district ad-
ministrators, principals, attorneys, guidance counse-
lors, mental health professionals, parents, students,
members of the public, and LGBTQ groups in St.
Johns County and elsewhere. The result was a set of
Best Practices Guidelines adopted by the School Su-
perintendent’s Executive Cabinet and introduced to
school administrators in September 2015. . . .
Under the Best Practices Guidelines, upon request by
a student or parent, students should be addressed
with the name and gender pronouns corresponding
with the student’s consistently asserted gender iden-
tity; school records will be updated upon receipt of a
court order to reflect a transgender student’s name
and gender; unofficial school records will use a
transgender student’s chosen name even without a
court order; transgender students are allowed to dress
in accordance with their gender identity; students are
permitted to publicly express their gender identity;
and the school will not unnecessarily disclose a
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 17 of 150

18-13592 Opinion of the Court 17

student’s transgender status to others. The Best Prac-
tices Guidelines also provide that “[t]ransgender stu-
dents will be given access to a gender-neutral re-
stroom and will not be required to use the restroom
corresponding to their biological sex.”
(second alteration in original) (citations omitted).
Thus, after completing this process and as part of its Best
Practices Guidelines, the School Board decided to maintain its
bathroom policy that separates bathrooms on the basis of biologi-
cal sex while providing accommodative sex-neutral bathrooms.
The School Board opted to maintain this policy also after taking
into account the complex issues presented by the notion of gender
fluidity.
Ultimately, the School Board believes its bathroom policy is
necessary to ensure the privacy and overall welfare of its entire stu-
dent body under the governing Florida statute. We will not insert
ourselves into the School Board’s ongoing development of policies
to accommodate students struggling with gender identity issues—
unless, of course, the School Board’s policies are unconstitutional,
an issue which we now address.
Turning to the constitutional question, because the policy
that Adams challenges classifies on the basis of biological sex, it is
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 18 of 150

18 Opinion of the Court 18-13592

subject to intermediate scrutiny.5 To satisfy intermediate scrutiny,
the bathroom policy must (1) advance an important governmental
objective and (2) be substantially related to that objective. Miss.
Univ. for Women, 458 U.S. at 724. The bathroom policy clears
both hurdles because the policy advances the important govern-
mental objective of protecting students’ privacy in school bath-
rooms and does so in a manner substantially related to that objec-
tive.6

5 The dissent separately asserts that intermediate scrutiny applies on the
ground that there is “no doubt that Adams, as a transgender individual, is a
member of a quasi-suspect class.” Jill Pryor Dis. Op. at 38. We have two re-
sponses. First, the dissent reaches this conclusion through a selective reading
of the record, citing to exhibits and testimony where it sees fit. But the dissent
fails to acknowledge that the district court did not address the issue, expressly
stating that it had “no occasion to engage in the further analysis” as to whether
“transgender people are a quasi-suspect class, deserving of heightened scrutiny
per se.” Like the district court, we find no need to address the issue, given our
conclusion that intermediate scrutiny applies, in any event. Second, and con-
trary to the dissent’s assertion, we have grave “doubt” that transgender per-
sons constitute a quasi-suspect class. Indeed, the Supreme Court has rarely
deemed a group a quasi-suspect class. See, e.g., City of Cleburne, 473 U.S. at
442–46.
6 Although we do not need to address whether Adams is “similarly situated”
to biological boys in the School District for purposes of reviewing the bath-
room policy under the Equal Protection Clause in the first instance, we note
that there are serious questions as to whether Adams would meet this require-
ment. See City of Cleburne, 473 U.S. at 439. The promise of equal protection
is limited to “keep[ing] governmental decisionmakers from treating differently
persons who are in all relevant respects alike.” Nordlinger, 505 U.S. at 10.
When it comes to the bathroom policy, biological sex is the “relevant
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 19 of 150

18-13592 Opinion of the Court 19

respect[],” id., with respect to which persons must be “similarly situated,” City
of Cleburne, 473 U.S. at 439, because biological sex is the sole characteristic on
which the bathroom policy and the privacy interests guiding the bathroom
policy are based. And biological sex also is the driving force behind the Su-
preme Court’s sex-discrimination jurisprudence. See, e.g., Nguyen, 533 U.S.
at 73 (“The difference between men and women in relation to the birth pro-
cess is a real one, and the principle of equal protection does not forbid Con-
gress to address the problem at hand in a manner specific [to men and
women].”); Virginia, 518 U.S. at 533 (“Physical differences between men and
women, however, are enduring: ‘[T]he two sexes are not fungible . . . .’” (first
alteration in original) (quoting Ballard v. United States, 329 U.S. 187, 193
(1946))); Frontiero, 411 U.S. at 686 (“[S]ex, like race and national origin, is an
immutable characteristic determined solely by the accident of birth.”). As the
Supreme Court has made clear: “To fail to acknowledge even our most basic
biological differences . . . risks making the guarantee of equal protection su-
perficial, and so disserving it.” Nguyen, 533 U.S. at 73.
Adams claims to be similarly situated to biological boys in the School District
for purposes of the bathroom policy, even though Adams is not biologically
male—the only characteristic on which the policy is based. Throughout the
pendency of this case, Adams remained both biologically and anatomically
identical to biological females—not males. Thus, in prohibiting Adams from
using the male bathrooms, it can be argued that the School Board did not
“treat[] differently persons who are in all relevant respects alike” for purposes
of the Equal Protection Clause. Nordlinger, 505 U.S. at 10.
To argue otherwise, the dissent, like the district court, must assert that
transgender status and gender identity are equivalent to biological sex. In-
deed, this forms the foundation of the dissent’s attempt to frame this case not
as a case about the constitutionality and legality of separating bathrooms based
on biological sex but rather as a case about the purported unlawfulness of ex-
cluding Adams—who attended school as a biological female—from using the
male bathroom because, as the dissent claims, Adams is a boy for purposes of
the bathroom policy. But such an assertion is contrary to the Supreme Court’s
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 20 of 150

20 Opinion of the Court 18-13592

The protection of students’ privacy interests in using the
bathroom away from the opposite sex and in shielding their bodies
from the opposite sex is obviously an important governmental ob-
jective. Indeed, the district court “agree[d] that the School Board
has a legitimate interest in protecting student privacy, which ex-
tends to bathrooms.” Understanding why is not difficult—school-
age children “are still developing, both emotionally and physi-
cally.” See Grimm v. Gloucester Cnty. Sch. Bd., 972 F.3d 586, 636
(4th Cir. 2020) (Niemeyer, J., dissenting) (“[A]ll individuals possess
a privacy interest when using restrooms or other spaces in which
they remove clothes and engage in personal hygiene, and this pri-
vacy interest is heightened when persons of the opposite sex are

reliance on physiological and biological differences between men and women
in its sex-discrimination decisions, which therefore raises serious questions
about Adams’s similarly situated status for purposes of the bathroom policy
under review. Such an assertion also is undercut by the dissent’s refusal to
engage the issue of gender fluidity—i.e., the practice, which the dissent
acknowledges, in which some individuals claim to change gender identities
associated with the male and female sexes and thereby treat sex as a mutable
characteristic. Jill Pryor Dis. Op. at 63 (“This case has no bearing on the ques-
tion how to assign gender fluid individuals to sex-separated bathrooms.”). But
see Frontiero, 411 U.S. at 686 (“[S]ex, like race and national origin, is an im-
mutable characteristic determined solely by the accident of birth.”). Such an
assertion is further undercut by the dissent’s attempt to categorize transgender
persons as members of a quasi-suspect class, which necessarily entails treating
transgender persons as distinct from the sexes with which they identify. Jill
Pryor Dis. Op. at 40-41. Nevertheless, as the opinion concludes, the bathroom
policy passes constitutional muster regardless of whether Adams is similarly
situated to biological boys for purposes of the bathroom policy because the
policy’s sex-based classification satisfies intermediate scrutiny.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 21 of 150

18-13592 Opinion of the Court 21

present. Indeed, this privacy interest is heightened yet further
when children use communal restrooms . . . .”). And even the
more generally acceptable notion that the protection of individual
privacy will occasionally require some segregation between the
sexes is beyond doubt—as then-Professor Ruth Bader Ginsburg
noted, “[s]eparate places to disrobe, sleep, [and] perform personal
bodily functions are permitted, in some situations required, by re-
gard for individual privacy.” Ruth Bader Ginsburg, The Fear of the
Equal Rights Amendment, Wash. Post, Apr. 7, 1975, at A21 (em-
phasis added).
It is no surprise, then, that the privacy afforded by sex-sepa-
rated bathrooms has been widely recognized throughout Ameri-
can history and jurisprudence. In fact, “sex-separation in bath-
rooms dates back to ancient times, and, in the United States, pre-
ceded the nation’s founding.” W. Burlette Carter, Sexism in the
“Bathroom Debates”: How Bathrooms Really Became Separated
by Sex, 37 Yale L. & Pol’y Rev. 227, 229 (2019). The Supreme Court
acknowledged this when it stated that admitting women to the Vir-
ginia Military Institute for the first time “would undoubtedly re-
quire alterations necessary to afford members of each sex privacy
from the other sex in living arrangements.” Virginia, 518 U.S. at
550 n.19. So, too, have our sister circuits. See, e.g., Chaney v.
Plainfield Healthcare Ctr., 612 F.3d 908, 913 (7th Cir. 2010) (“[T]he
law tolerates same-sex restrooms or same-sex dressing rooms, but
not white-only rooms, to accommodate privacy needs.”); Faulkner
v. Jones, 10 F.3d 226, 232 (4th Cir. 1993) (“[Society has given its]
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 22 of 150

22 Opinion of the Court 18-13592

undisputed approval of separate public rest rooms for men and
women based on privacy concerns. The need for privacy justifies
separation and the differences between the genders demand a facil-
ity for each gender that is different.”); see also Grimm, 972 F.3d at
634 (Niemeyer, J., dissenting) (“In light of the privacy interests that
arise from the physical differences between the sexes, it has been
commonplace and universally accepted—across societies and
throughout history—to separate on the basis of sex those public
restrooms, locker rooms, and shower facilities that are designed to
be used by multiple people at a time.”).
Moreover, courts have long found a privacy interest in
shielding one’s body from the opposite sex in a variety of legal con-
texts. E.g., Fortner v. Thomas, 983 F.2d 1024, 1030 (11th Cir. 1993)
(recognizing a “constitutional right to bodily privacy because most
people have ‘a special sense of privacy in their genitals, and invol-
untary exposure of them in the presence of people of the other sex
may be especially demeaning and humiliating’” (quoting Lee v.
Downs, 641 F.2d 1117, 1119 (4th Cir. 1981))); Harris v. Miller, 818
F.3d 49, 59 (2d Cir. 2016); Brannum v. Overton Cnty. Sch. Bd., 516
F.3d 489, 494–95 (6th Cir. 2008); Canedy v. Boardman, 16 F.3d 183,
185 (7th Cir. 1994); Byrd v. Maricopa Cnty. Sheriff’s Dep’t, 629 F.3d
1135, 1141 (9th Cir. 2011) (en banc).
Having established that the School Board has an important
governmental objective in protecting students’ privacy interests in
school bathrooms, we must turn to whether the bathroom policy
is substantially related to that objective. Miss. Univ. for Women,
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 23 of 150

18-13592 Opinion of the Court 23

458 U.S. at 724. Intermediate scrutiny is satisfied when a policy
“has a close and substantial bearing on” the governmental objec-
tive in question. Nguyen, 533 U.S. at 70. The School Board’s bath-
room policy is clearly related to—indeed, is almost a mirror of—its
objective of protecting the privacy interests of students to use the
bathroom away from the opposite sex and to shield their bodies
from the opposite sex in the bathroom, which, like a locker room
or shower facility, is one of the spaces in a school where such bodily
exposure is most likely to occur. Therefore, the School Board’s
bathroom policy satisfies intermediate scrutiny.
The district court avoided this conclusion only by miscon-
struing the privacy interests at issue and the bathroom policy em-
ployed. The district court found that “allowing transgender stu-
dents to use the restrooms that match their gender identity does
not affect the privacy protections already in place.” In the district
court’s eyes, this was because “Adams enters a stall, closes the
door, relieves himself, comes out of the stall, washes his hands, and
leaves” the male bathroom. The district court discounted the pri-
vacy interests at play by claiming that “Adams has encountered no
problems using men’s restrooms in public places, and there were
no reports of problems from any boys or boys’ parents during the
six weeks . . . when Adams used the boys’ restrooms.” Thus, the
district court found “the School Board’s concerns about privacy” to
be “only conjectural.”
But the district court’s contentions, which the dissent, Ad-
ams, and many amici echo, minimize the undisputed fact that, at
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 24 of 150

24 Opinion of the Court 18-13592

Nease, students’ use of the sex-separated bathrooms is not confined
to individual stalls, e.g., students change in the bathrooms and, in
the male bathrooms, use undivided urinals. These contentions also
ignore that the privacy interests, which animated the School
Board’s decision to implement the policy, are sex-specific privacy
interests. After all, only sex-specific interests could justify a sex-
specific policy. The privacy interests hinge on using the bathroom
away from the opposite sex and shielding one’s body from the op-
posite sex, not using the bathroom in privacy. Were it the latter,
then only single-stall, sex-neutral bathrooms would pass constitu-
tional muster. But that is not the law. Nor is the law predicated
on “problems” or “reports of problems” from students or their par-
ents when it comes to the validity of sex-separated bathrooms (alt-
hough the record reflects that two students did, in fact, complain
to the school and that—as stipulated by the parties—parents and
students within the School District objected to a policy that would
allow students to use the bathroom that matches their gender iden-
tity, instead of their biological sex, out of privacy, safety, and wel-
fare concerns).
The sex-specific privacy interests for all students in the sex-
separated bathrooms at Nease attach once the doorways to those
bathrooms swing open. The privacy interests are not confined to
the individual stalls in those bathrooms. In reaching the contrary
conclusion, the district court erred by misconstruing the privacy
interests at issue, minimizing the factual and practical realities of
how the sex-separated bathrooms operate, and discounting the
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 25 of 150

18-13592 Opinion of the Court 25

parties’ stipulation that students and parents objected to any bath-
room policy that would commingle the sexes out of privacy con-
cerns, among others. Cf. Christian Legal Soc. Chapter of the Univ.
of California, Hastings Coll. of the L. v. Martinez, 561 U.S. 661,
677–78 (2010) (“[F]actual stipulations are ‘formal concessions . . .
that have the effect of withdrawing a fact from issue and dispensing
wholly with the need for proof of the fact.’” (second alteration in
original) (quoting 2 K. Broun, McCormick on Evidence § 254, at
181 (6th ed. 2006))).
The dissent repeats the district court’s mistakes. Of particu-
lar note, in asserting that the School Board only provided “specula-
tive” evidence in support of linking the bathroom policy to the pro-
tection of students’ privacy interests, the dissent discounts the par-
ties’ stipulation that parents and students within the School District
objected to a bathroom policy that commingled the sexes based on
privacy concerns, among others. Jill Pryor Dis. Op. at 45, 52 n.22.
The dissent equates concerns about privacy in the bathroom with
unlawful complaints about racial segregation. Id. at 52 n.22, 64–65.
But that is a false equivalence. As explained above, it is well estab-
lished that individuals enjoy protection of their privacy interests in
the bathroom, so concerns about privacy in the bathroom are le-
gitimate concerns. In contrast, it is well established that racially
segregating schools is unconstitutional, so complaints about ra-
cially integrating schools are illegitimate complaints. Brown v. Bd.
of Educ., 347 U.S. 483, 495 (1954). Only by conflating legitimate
concerns about privacy with illegitimate, and unconstitutional,
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 26 of 150

26 Opinion of the Court 18-13592

complaints about racial integration is the dissent able to discount
the parties’ binding stipulation and claim that the School Board’s
bathroom policy, which directly advances the important govern-
mental objective of protecting students’ privacy interests in the
bathroom, fails intermediate scrutiny.
Finally, we turn to the dissent’s contention that, despite all
indications to the contrary, this case is not a case about “the legality
of separating bathrooms by sex,” which is primarily advanced by
Judge Jill Pryor’s dissent but also is discussed in Judge Jordan’s dis-
sent. Jill Pryor Dis. Op. at 2; Jordan Dis. Op. at 11–12. As such, the
dissent claims that this case is about the exclusion of Adams, as “a
boy,” from the male bathrooms in which the School Board restricts
access to “biological boys.”
The dissent’s argument relies on a misreading of the record
and, in fact, contradicts the dissent’s own analysis. The district
court explained that Adams “is transgender, meaning he ‘consist-
ently, persistently, and insistently’ identifies as a boy, a gender that
is different than the sex he was assigned at birth (female).” In its
analysis of the Equal Protection Clause claim, the district court
stated that “[t]he undisputed evidence is that [Adams] is a
transgender boy and wants access to use the boys’ restroom.” (Em-
phasis added). And, in concluding that the bathroom policy vio-
lated the Equal Protection Clause, the district court explained that
“[t]here is no evidence to suggest that [Adams’s] identity as a boy
is any less consistent, persistent, and insistent than any other boy.
Permitting [Adams] to use the boys’ restroom will not integrate the
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 27 of 150

18-13592 Opinion of the Court 27

restrooms between the sexes.” (Emphasis added). In holding the
bathroom policy unconstitutional, the district court never made a
finding that Adams is a “biological boy,” as the dissent claims,
which is the classification that the School Board uses to restrict ac-
cess to the male bathrooms and the classification that Adams is
challenging. Jill Pryor Dis. Op. at 29 n.10. The district court looked
to Adams’s gender identity—not Adams’s biological sex—for pur-
poses of evaluating the bathroom policy. And even the dissent
acknowledges, as it must, that gender identity is different from bi-
ological sex. Id. at 32 (citing the district court’s order to explain
“that ‘transgender’ persons ‘consistently, persistently, and insist-
ently identif[y] as a gender different [from] the sex they were as-
signed at birth’”).
Thus, despite the dissent’s suggestion, the district court did
not make a finding equating gender identity as akin to biological
sex. Nor could the district court have made such a finding that
would have legal significance. To do so would refute the Supreme
Court’s longstanding recognition that “sex, like race and national
origin, is an immutable characteristic determined solely by the ac-
cident of birth.” Frontiero v. Richardson, 411 U.S. 677, 686 (1973)
(plurality opinion); see also Immutable, Oxford English Dictionary
(2d ed. 1989) (“Not mutable; not subject to or susceptible of
change; unchangeable, unalterable, changeless.”). Regardless of
Adams’s genuinely held belief about gender identity—which is not
at issue—Adams’s challenge to the bathroom policy revolves
around whether Adams, who was “determined solely by the
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 28 of 150

28 Opinion of the Court 18-13592

accident of birth” to be a biological female—is allowed access to
bathrooms reserved for those who were “determined solely by the
accident of birth” to be biologically male. Thus, we are unper-
suaded by the dissent’s argument that the district court could make
any factual finding (that would not constitute clear error) to change
an individual’s immutable characteristic of biological sex, just as
the district court could not make a factual finding to change some-
one’s immutable characteristic of race, national origin, or even age
for that matter. Simply put, and contrary to the dissent’s claims,
this is a case about the constitutionality and legality of separating
bathrooms by biological sex because it involves an individual of
one sex seeking access to the bathrooms reserved for those of the
opposite sex. Adams’s gender identity is thus not dispositive for
our adjudication of Adams’s equal protection claim.
In sum, the bathroom policy does not unlawfully discrimi-
nate on the basis of biological sex.
2. The Bathroom Policy Does Not Discriminate Against
Transgender Students
We now turn to whether the School Board’s policy, which
does not unlawfully discriminate on the basis of sex, discriminates
against transgender students. In finding a violation of the Equal
Protection Clause, the district court never properly conducted the
requisite intermediate scrutiny analysis and, instead, concluded
that “although the policy treats most boys and girls the same, it
treats Adams differently because, as a transgender boy, he does not
act in conformity with the sex-based stereotypes associated with”
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 29 of 150

18-13592 Opinion of the Court 29

biological sex. There are two flaws in the district court’s conclu-
sion.
First, the bathroom policy facially classifies based on biolog-
ical sex—not transgender status or gender identity. Transgender
status and gender identity are wholly absent from the bathroom
policy’s classification. And both sides of the classification—biolog-
ical males and biological females—include transgender students.
To say that the bathroom policy singles out transgender students
mischaracterizes how the policy operates.
Both Adams and the dissent rely on Bostock v. Clayton
County, 140 S. Ct. 1731 (2020), to advance this faulty reasoning. Jill
Pryor Dis. Op. at 35–37. Bostock involved employment discrimi-
nation under Title VII of the Civil Rights Act of 1964, § 701 et seq.,
as amended, 42 U.S.C. § 2000e et seq.—specifically, various em-
ployers’ decisions to fire employees based solely on their sexual ori-
entations or gender identities. Id. at 1737–38. As a preliminary
matter, the Supreme Court expressly declined to address the issue
of sex-separated bathrooms and locker rooms, stating:
Under Title VII, . . . we do not purport to address
bathrooms, locker rooms, or anything else of the
kind. The only question before us is whether an em-
ployer who fires someone simply for being homosex-
ual or transgender has discharged or otherwise dis-
criminated against that individual “because of such in-
dividual’s sex.”
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 30 of 150

30 Opinion of the Court 18-13592

Id. at 1753. And the instant appeal is about schools and children—
and the school is not the workplace. See, e.g., Davis v. Monroe
Cnty. Bd. of Educ., 526 U.S. 629, 651 (1999) (“Courts, moreover,
must bear in mind that schools are unlike the adult workplace.”);
id. at 675 (Kennedy, J., dissenting) (noting the “differences between
children and adults, peers and teachers, schools and workplaces”
and that “schools are not workplaces and children are not adults”).
But even holding those preliminary points aside, Bostock
does not resolve the issue before us. While Bostock held that “dis-
crimination based on homosexuality or transgender status neces-
sarily entails discrimination based on sex,” 140 S. Ct. at 1747, that
statement is not in question in this appeal. This appeal centers on
the converse of that statement—whether discrimination based on
biological sex necessarily entails discrimination based on
transgender status. It does not—a policy can lawfully classify on
the basis of biological sex without unlawfully discriminating on the
basis of transgender status. See, e.g., Nguyen, 533 U.S. at 60. In-
deed, while the bathroom policy at issue classifies students on the
basis of biological sex, it does not facially discriminate on the basis
of transgender status. Because the bathroom policy divides stu-
dents into two groups, both of which include transgender students,
there is a “lack of identity” between the policy and transgender sta-
tus, as the bathroom options are “equivalent to th[ose] provided
[to] all” students of the same biological sex. See Geduldig v. Aiello,
417 U.S. 484, 496–97 & n.20 (1974); see also Bray v. Alexandria
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 31 of 150

18-13592 Opinion of the Court 31

Women’s Health Clinic, 506 U.S. 263, 271 (1993) (reaffirming this
reasoning).
Our conclusion that there is a “lack of identity” between the
bathroom policy and transgender status is informed by the Su-
preme Court’s reasoning in Geduldig. In that case, the Supreme
Court held that a state insurance program that excluded coverage
for certain pregnancy-related disabilities did not classify on the ba-
sis of sex. Geduldig, 417 U.S. at 486, 496–97. Because the insurance
program created two groups—a group that contained only females
and a group that contained males and females—there was a “lack
of identity” between the exclusion of those female-related disabili-
ties from coverage and discrimination on the basis of being female
since “[t]he fiscal and actuarial benefits of the program . . . accrue[d]
to members of both sexes.” Id. at 496 n.20. Like the insurance
program in Geduldig, the School Board’s bathroom policy does not
classify students based on transgender status because a “lack of
identity” exists between transgender status and a policy that divides
students into biological male and biological female groups—both
of which can inherently contain transgender students—for pur-
poses of separating the male and female bathrooms by biological
sex.
Second, the contention that the School Board’s bathroom
policy relied on impermissible stereotypes associated with Adams’s
transgender status is wrong. The bathroom policy does not de-
pend in any way on how students act or identify. The bathroom
policy separates bathrooms based on biological sex, which is not a
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 32 of 150

32 Opinion of the Court 18-13592

stereotype. As this opinion has explained, the Supreme Court has
repeatedly recognized the biological differences between the sexes
by grounding its sex-discrimination jurisprudence on such differ-
ences. See, e.g., Nguyen, 533 U.S. at 73 (“The difference between
men and women in relation to the birth process is a real one.”);
Virginia, 518 U.S. at 533 (“Physical differences between men and
women, however, are enduring: ‘[T]he two sexes are not fungible
. . . .’” (first alteration in original) (quoting Ballard v. United States,
329 U.S. 187, 193 (1946))). And the biological differences between
males and females are the reasons intermediate scrutiny applies in
sex-discrimination cases in the first place. See Frontiero, 411 U.S.
at 686 (“[S]ince sex, like race and national origin, is an immutable
characteristic determined solely by the accident of birth, the impo-
sition of special disabilities upon the members of a particular sex
because of their sex would seem to violate ‘the basic concept of our
system that legal burdens should bear some relationship to individ-
ual responsibility.’” (quoting Weber v. Aetna Cas. & Sur. Co., 406
U.S. 164, 175 (1972))). To say that the bathroom policy relies on
impermissible stereotypes because it is based on the biological dif-
ferences between males and females is incorrect. See Nguyen, 533
U.S. at 73 (“Mechanistic classification of all our differences as stere-
otypes would operate to obscure those misconceptions and preju-
dices that are real.”).
At most, Adams’s challenge amounts to a claim that the
bathroom policy has a disparate impact on the transgender stu-
dents in the School District. And a disparate impact alone does not
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 33 of 150

18-13592 Opinion of the Court 33

violate the Constitution. Instead, a disparate impact on a group
offends the Constitution when an otherwise neutral policy is moti-
vated by “purposeful discrimination.” Pers. Adm’r of Mass. v.
Feeney, 442 U.S. 256, 274 (1979); accord Village of Arlington
Heights v. Metro. Hous. Dev. Corp., 429 U.S. 252, 264–66 (1977).
The district court proclaimed that the bathroom policy was
“no longer a neutral rule” because it “applies differently to
transgender students” and because the School Board became
“aware of the need to treat transgender students the same as other
students.” But the Supreme Court has long held that “‘[d]iscrimi-
natory purpose’ . . . implies more than intent as volition or intent
as awareness of consequences.” Feeney, 442 U.S. at 279 (quoting
United Jewish Orgs. v. Carey, 430 U.S. 144, 180 (1977) (Stewart, J.,
concurring in the judgment)); see also Bray, 506 U.S. at 271–72. In-
stead, a discriminatory purpose “implies that the decisionmaker,”
in this case the School Board, “selected or reaffirmed a particular
course of action at least in part ‘because of,’ not merely ‘in spite of,’
its adverse effects upon an identifiable group.” Feeney, 442 U.S. at
279.
There is no evidence suggesting that the School Board en-
acted the bathroom policy “because of . . . its adverse effects upon”
transgender students. See id. The district court itself noted that
the School Board did not even “have transgender students in mind
when it originally established separate multi-stall restrooms for
boys and girls.” The policy impacts approximately 0.04 percent of
the students within the School District—i.e., sixteen transgender
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 34 of 150

34 Opinion of the Court 18-13592

students out of 40,000 total students—in a manner unforeseen
when the bathroom policy was implemented. And to accommo-
date that small percentage, while at the same time taking into ac-
count the privacy interests of the other students in the School Dis-
trict, the School Board authorized the use of sex-neutral bathrooms
as part of its Best Practices Guidelines for LGBTQ issues. As dis-
cussed above, the School Board provided this accommodation only
after undertaking significant education efforts and receiving input
from mental health professionals and LGBTQ groups both within
and beyond the School District community.
Contrary to the dissent’s claim, the School Board, through
the Best Practices Guidelines, did not discriminatorily “single[] out
transgender students.” Jill Pryor Dis. Op. at 32. The School Board
sought to accommodate transgender students by providing them
with an alternative—i.e., sex-neutral bathrooms—and not requir-
ing them to use the bathrooms that match their biological sex—
i.e., the bathroom policy Adams challenges. The School Board did
not place a special burden on transgender students by allowing
them to use sex-neutral bathrooms under the Best Practices Guide-
lines, which came well after the implementation of the longstand-
ing bathroom policy separating bathrooms by biological sex; ra-
ther, the School Board gave transgender students an alternative op-
tion in the form of an accommodation. Ultimately, there is no ev-
idence of purposeful discrimination against transgender students
by the School Board, and any disparate impact that the bathroom
policy has on those students does not violate the Constitution.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 35 of 150

18-13592 Opinion of the Court 35

B. The Bathroom Policy Does Not Violate Title IX
Title IX was passed as part of the Education Amendments of
1972 and “patterned after” the Civil Rights Act of 1964. Cannon v.
Univ. of Chi., 441 U.S. 677, 694–96 (1979). The statute mandates
that, subject to certain exceptions: “No person in the United States
shall, on the basis of sex, be excluded from participation in, be de-
nied the benefits of, or be subjected to discrimination under any
education program or activity receiving Federal financial assis-
tance . . . .” 20 U.S.C. § 1681(a). Its purpose, as derived from its
text, is to prohibit sex discrimination in education. See United
States v. Bryant, 996 F.3d 1243, 1264 (11th Cir. 2021) (“As in all
cases of statutory interpretation, ‘the purpose must be derived
from the text.’” (quoting Antonin Scalia & Bryan A. Garner, Read-
ing Law 56 (2012))), cert. denied, 142 S. Ct. 583 (2021). The statute
explicitly provides for administrative enforcement, see 20 U.S.C.
§ 1682, and the Supreme Court also has read in an implied private
right of action for damages and injunctive relief, see Cannon, 441
U.S. at 717 (reading an implied private right of action into Title IX);
Franklin v. Gwinnett Cnty. Pub. Schs., 503 U.S. 60, 76 (1992) (con-
cluding damages are a remedy available for an action under Title
IX).
Notwithstanding Title IX’s general prohibition on sex dis-
crimination, the statute provides an express carve-out with respect
to living facilities: “nothing contained [in Chapter 38] shall be con-
strued to prohibit any educational institution receiving funds under
this Act, from maintaining separate living facilities for the different
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 36 of 150

36 Opinion of the Court 18-13592

sexes.” 20 U.S.C. § 1686. The regulations implementing Title IX
explicitly permit schools receiving federal funds to “provide sepa-
rate housing on the basis of sex,” so long as the housing is
“[p]roportionate in quantity to the number of students of that sex
applying for such housing” and “[c]omparable in quality and cost
to the student,” 34 C.F.R. § 106.32(b), and “separate toilet, locker
room, and shower facilities on the basis of sex,” so long as the facil-
ities “provided for students of one sex [are] comparable to such fa-
cilities provided for students of the other sex,” id. § 106.33.
As such, this appeal requires us to interpret the word “sex”
in the context of Title IX and its implementing regulations. We
cannot, as the Supreme Court did in Bostock, decide only whether
discrimination based on transgender status necessarily equates to
discrimination on the basis of sex, as Adams would have us do. 140
S. Ct. at 1739 (“The question isn’t just what ‘sex’ meant, but what
Title VII says about it. Most notably, the statute prohibits employ-
ers from taking certain actions ‘because of’ sex.”). This is because
Title IX, unlike Title VII, includes express statutory and regulatory
carve-outs for differentiating between the sexes when it comes to
separate living and bathroom facilities, among others. Therefore,
if to “provide separate toilet . . . facilities on the basis of sex” means
to provide separate bathrooms on the basis of biological sex, then
the School Board’s policy fits squarely within the carve-out. 34
C.F.R. § 106.33. And if the School Board’s policy fits within the
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 37 of 150

18-13592 Opinion of the Court 37

carve-out, then Title IX permits the School Board to mandate that
all students follow the policy, including Adams.
1. The Statute Is Not Ambiguous
To interpret “sex” within the meaning of Title IX, we look
to the ordinary meaning of the word when it was enacted in 1972.
Wis. Cent. Ltd. v. United States, 138 S. Ct. 2067, 2070 (2018) (“[O]ur
job is to interpret the words consistent with their ‘ordinary mean-
ing . . . at the time Congress enacted the statute.’” (second altera-
tion in original) (quoting Perrin v. United States, 444 U.S. 37, 42
(1979))). One of the methods of determining the ordinary meaning
of a word “is by looking at dictionaries in existence around the time
of enactment.” United States v. Chinchilla, 987 F.3d 1303, 1308
(11th Cir. 2021) (quoting EEOC v. Catastrophe Mgmt. Sols., 852
F.3d 1018, 1026 (11th Cir. 2016)). Reputable dictionary definitions
of “sex” from the time of Title IX’s enactment show that when
Congress prohibited discrimination on the basis of “sex” in educa-
tion, it meant biological sex, i.e., discrimination between males and
females. See, e.g., Sex, American Heritage Dictionary of the Eng-
lish Language (1976) (“The property or quality by which organisms
are classified according to their reproductive functions.”); Sex,
American Heritage Dictionary of the English Language (1979)
(same); Sex, Female, Male, Oxford English Dictionary (re-issue ed.
1978) (defining “sex” as “[e]ither of the two divisions of organic be-
ings distinguished as male and female respectively,” “female” as
“[b]elonging to the sex which bears offspring,” and “male” as “[o]f
or belonging to the sex which begets offspring, or performs the
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 38 of 150

38 Opinion of the Court 18-13592

fecundating function of generation”); Sex, Webster’s New World
Dictionary (1972) (“[E]ither of the two divisions, male or female,
into which persons, animals, or plants are divided, with reference
to their reproductive functions.”); Sex, Female, Male, Webster’s
Seventh New Collegiate Dictionary (1969) (defining “sex” as “ei-
ther of two divisions of organisms distinguished respectively as
male or female,” “female” as “an individual that bears young or
produces eggs as distinguished from one that begets young,” and
“male” as “of, relating to, or being the sex that begets young by
performing the fertilizing function”); Sex, Random House College
Dictionary (rev. ed. 1980) (“[E]ither the male or female division of
a species, esp. as differentiated with reference to the reproductive
functions.”).
The district court found “sex” to be “ambiguous as applied
to transgender students,” due to lack of explicit definition in either
Title IX or its implementing regulations. And in deciding that “sex”
was an ambiguous term, it noted that other courts, including the
majority in Grimm v. Gloucester County School Board, “did not
find the meaning [of ‘sex’] to be so universally clear” under Title IX
drafting-era dictionary definitions. But the district court men-
tioned only one dictionary definition—the American College Dic-
tionary (1970), defining “sex” as “the character of being either male
or female”—to support its conclusion that “sex” was an ambiguous
term at the time of Title IX’s enactment.
In the face of the overwhelming majority of dictionaries de-
fining “sex” on the basis of biology and reproductive function, the
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 39 of 150

18-13592 Opinion of the Court 39

district court’s determination that a single dictionary, which is sup-
posedly at variance from its peers, supports the conclusion that the
word “sex” had an ambiguous meaning when Title IX was enacted
is wrong ab initio. Moreover, even a cursory examination of the
American College Dictionary’s definition of “sex” confirms that it,
too, defines “sex” based on biology and reproductive function, as
illustrated by its definitions of “female” and “male.” See Fe-
male, American College Dictionary (1970) (“[A] human being of
the sex which conceives and brings forth young; a woman or girl.”);
Male, American College Dictionary (1970) (“[B]elonging to the sex
which begets young, or any division or group corresponding to
it.”). The ambiguity purportedly found by the district court simply
is not there.
But even if the district court’s reading of the American Col-
lege Dictionary supported its finding of “sex” to be ambiguous, a
statutory term is not deemed to be ambiguous simply because the
statute does not explicitly define the term or a single dictionary pro-
vides a different meaning. See Perrin, 444 U.S. at 42 (“A fundamen-
tal canon of statutory construction is that, unless otherwise de-
fined, words will be interpreted as taking their ordinary, contem-
porary, common meaning.”). Indeed, “[a]mbiguity is a creature
not of definitional possibilities but of statutory context.” Brown v.
Gardner, 513 U.S. 115, 118 (1994). And reading in ambiguity to the
term “sex” ignores the statutory context of Title IX.
For one, Title IX explicitly provides a statutory carve-out for
“maintaining separate living facilities for the different sexes.”
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 40 of 150

40 Opinion of the Court 18-13592

20 U.S.C. § 1686. So, if “sex” were ambiguous enough to include
“gender identity,” as Adams suggests and as the district court ulti-
mately concluded, then this carve-out, as well as the various carve-
outs under the implementing regulations, would be rendered
meaningless. This is because transgender persons—who are mem-
bers of the female and male sexes by birth—would be able to live
in both living facilities associated with their biological sex and liv-
ing facilities associated with their gender identity or transgender
status. If sex were ambiguous, it is difficult to fathom why the
drafters of Title IX went through the trouble of providing an ex-
press carve-out for sex-separated living facilities, as part of the over-
all statutory scheme. For this reason alone, reading in ambiguity
to the term “sex” ignores the overall statutory scheme and purpose
of Title IX, along with the vast majority of dictionaries defining
“sex” based on biology and reproductive function.
The district court claimed that the Supreme Court’s decision
in Price Waterhouse v. Hopkins, 490 U.S. 228 (1989) (plurality
opinion), and this Court’s decision in Glenn v. Brumby, 663 F.3d
1312 (11th Cir. 2011), provided support for its conclusion that “the
meaning of ‘sex’ in Title IX includes ‘gender identity’ for purposes
of its application to transgender students.” But both cases dealt
with workplace discrimination involving nonconformity with sex
stereotypes; neither case departed from the plain meaning of “sex,”
generally, or as used within Title IX. Price Waterhouse, 490 U.S.
at 250 (“In the specific context of sex stereotyping, an employer
who acts on the basis of a belief that a woman cannot be aggressive,
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 41 of 150

18-13592 Opinion of the Court 41

or that she must not be, [has discriminated on the basis of sex].”);
Glenn, 663 F.3d at 1318–19 (“All persons, whether transgender or
not, are protected from discrimination on the basis of [a sex stere-
otype].”).
Neither case reads “gender identity” into the definition of
“sex”; they discuss unlawful action by employers’ reliance on im-
permissible stereotypes. And, as discussed above, “sex” is not a ste-
reotype. Just as importantly, and contrary to Adams’s arguments
that Bostock equated “sex” to “transgender status,” the Supreme
Court in Bostock actually “proceed[ed] on the assumption” that the
term “sex,” as used in Title VII, “refer[ed] only to biological distinc-
tions between male and female.” 140 S. Ct. at 1739 (emphasis
added). There simply is no alternative definition of “sex” for
transgender persons as compared to nontransgender persons under
Title IX. The district court erred by divining one, and applying that
definition to Adams, because courts must “avoid interpretations
that would ‘attribute different meanings to the same phrase’” or
word in “all but the most unusual” of statutory circumstances. Co-
chise Consultancy, Inc. v. United States ex rel. Hunt, 139 S. Ct.
1507, 1512 (2019) (quoting Reno v. Bossier Parish Sch. Bd., 528 U.S.
320, 329 (2000)).
In this regard, the district court’s error is made even clearer
when we consider the ramifications of its reading of Title IX. Read-
ing “sex” to include “gender identity,” and moving beyond a bio-
logical understanding of “sex,” would provide more protection
against discrimination on the basis of transgender status under the
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 42 of 150

42 Opinion of the Court 18-13592

statute and its implementing regulations than it would against dis-
crimination on the basis of sex. Title IX and its implementing reg-
ulations prohibit discrimination on the basis of sex, but they also
explicitly permit differentiating between the sexes in certain in-
stances, including school bathrooms, locker rooms, and showers,
under various carve-outs. As explained in our discussion about the
statutory scheme and purpose of Title IX, transgender persons fall
into the preexisting classifications of sex—i.e., male and female.
Thus, they are inherently protected under Title IX against discrim-
ination on the basis of sex. But reading “sex” to include “gender
identity,” as the district court did, would result in situations where
an entity would be prohibited from installing or enforcing the oth-
erwise permissible sex-based carve-outs when the carve-outs come
into conflict with a transgender person’s gender identity. Such a
reading would thereby establish dual protection under Title IX
based on both sex and gender identity when gender identity does
not match sex. That conclusion cannot comport with the plain
meaning of “sex” at the time of Title IX’s enactment and the pur-
pose of Title IX and its implementing regulations, as derived from
their text.
Finally, in this appeal, any action by the School Board based
on sex stereotypes is not relevant to Adams’s claim because, as dis-
cussed, Title IX and its implementing regulations expressly allow
the School Board to provide separate bathrooms “on the basis of
sex.” See 20 U.S.C. §§ 1681(a), 1686; 34 C.F.R. § 106.33. Regardless
of whether Adams argues that the bathroom policy itself violates
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 43 of 150

18-13592 Opinion of the Court 43

Title IX’s general prohibition against sex discrimination, this Court
must still determine whether the application of the policy fits into
Title IX’s carve-out, which it does. An example makes this clear.
Think of a biological female student, who does not identify
as transgender and who sued her school under Title IX to gain ac-
cess to the male bathroom. Regardless of whether preventing the
female student from using the male bathroom would constitute
separation on the basis of sex—and it plainly would—the carve-out
for bathrooms under Title IX would provide the school a safe har-
bor. In other words, because Title IX explicitly provides for sepa-
rate bathrooms on the basis of sex, the student’s claim would fail.
So, too, must Adams’s claim, because the carve-out for bathrooms
provides the School Board a safe harbor for the same reasons.7
In summary, Title IX prohibits discrimination on the basis of
sex, but it expressly permits separating the sexes when it comes to

7 Nevertheless, the dissent, using Bostock, argues “that ‘sex’ was a but-for
cause of the discrimination Adams experienced,” which the dissent argues vi-
olates Title IX. Jill Pryor Dis. Op. at 59. This argument is of no avail. Under
the dissent’s theory, any lawful policy separating on the basis of “sex” pursuant
to Title IX’s statutory and regulatory carve-outs would inherently provide the
“but-for cause of . . . discrimination” that the dissent is concerned about be-
cause such a policy inherently involves distinguishing between the sexes from
the outset. The dissent’s theory, then, would swallow the carve-outs and ren-
der them meaningless because, as the dissent would have it, any policy sepa-
rating by “sex” would provide “a but-for cause of . . . discrimination” if a liti-
gant felt that she or he had been discriminated against by the sex-based sepa-
ration authorized by the carve-outs. Adams, who is a biological female
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 44 of 150

44 Opinion of the Court 18-13592

bathrooms and other living facilities. When we read “sex” in Title
IX to mean “biological sex,” as we must, the statutory claim re-
solves itself. Title IX’s implementing regulations explicitly allow
schools to “provide separate toilet . . . facilities on the basis of [bio-
logical] sex.” 34 C.F.R. § 106.33. The School Board does just that.
Because the School Board thus acts in accordance with Title IX’s
bathroom-specific regulation, its decision to direct Adams—who
was born, and enrolled in the School District as, a female—to use
the female bathrooms is consistent with Title IX’s precepts. As
such, Adams’s claim under the statute must fail.
2. Even if the Statute Were Unclear, the Spending Clause Mil-
itates Toward Finding for the School Board
Even if the term “sex,” as used in Title IX, were unclear, we
would still have to find for the School Board. This is because Con-
gress passed Title IX pursuant to its authority under the Spending
Clause. U.S. Const. art. I, § 8, cl. 1; Davis, 526 U.S. at 640 (“[W]e
have repeatedly treated Title IX as legislation enacted pursuant to
Congress’ authority under the Spending Clause.”). And “if Con-
gress intends to impose a condition on the grant of federal moneys
[under its Spending Clause authority], it must do so unambigu-
ously.” Pennhurst State Sch. & Hosp. v. Halderman, 451 U.S. 1, 17
(1981). Further, “private damages actions are available only where

alleging discrimination based on not being able to access the bathrooms re-
served for biological males, is no different from such a litigant.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 45 of 150

18-13592 Opinion of the Court 45

recipients of federal funding had adequate notice that they could
be liable for the conduct at issue.” Davis, 526 U.S. at 640.
A safeguard of our federalist system is the demand that Con-
gress provide the States with a clear statement when imposing a
condition on federal funding because “legislation enacted pursuant
to the spending power is much in the nature of a contract: in return
for federal funds, the States agree to comply with federally imposed
conditions.” Pennhurst, 451 U.S. at 17. Thus, the “legitimacy of
Congress’ power to legislate under the [S]pending [Clause]
. . . rests on whether the State voluntarily and knowingly accepts
the terms of the ‘contract.’” Id. (quoting Steward Mach. Co. v. Da-
vis, 301 U.S. 548, 585–98 (1937)). Otherwise, if Congress’s spending
authority were “to be limited only by Congress’ notion of the gen-
eral welfare, the reality, given the vast financial resources of the
Federal Government, is that the Spending Clause” would “give[]
‘power to the Congress to tear down the barriers, to invade the
states’ jurisdiction, and to become a parliament of the whole peo-
ple, subject to no restrictions save such as are self-imposed.” South
Dakota v. Dole, 483 U.S. 203, 217 (1987) (O’Connor, J., dissenting)
(quoting United States v. Butler, 297 U.S. 1, 78 (1936)).
Under the Spending Clause’s required clear-statement rule,
the School Board’s interpretation that the bathroom carve-out per-
tains to biological sex would only violate Title IX if the meaning of
“sex” unambiguously meant something other than biological sex,
thereby providing the notice to the School Board that its under-
standing of the word “sex” was incorrect. As we have thoroughly
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 46 of 150

46 Opinion of the Court 18-13592

discussed, it does not. The dissent implicitly acknowledges this
point. Jill Pryor Dis. Op. at 57 n.25 (“I . . . have no reason to address
the majority opinion’s Spending Clause argument. The Spending
Clause cannon of construction only comes into play if we find our-
selves dealing with an ambiguous statute.”). Moreover, schools
across the country separate bathrooms based on biological sex and
colleges and universities across the country separate living facilities
based on biological sex. The notion that the School Board could or
should have been on notice that its policy of separating male and
female bathrooms violates Title IX and its precepts is untenable.8
Title IX’s statutory structure and corresponding regulatory
scheme illustrate why a clear statement from Congress equating

8 Adams contends that the School Board made this argument—that Congress
must condition funds under its Spending Clause authority in an unambiguous
way—for the first time on appeal. Thus, Adams argues that this Court should
not consider the School Board’s argument. Adams is incorrect. We are duty
bound to apply the correct law; “parties cannot waive the application of the
correct law or stipulate to an incorrect legal test.” Jefferson v. Sewon Am.,
Inc., 891 F.3d 911, 923 (11th Cir. 2018); accord United States v. Lee, 29 F.4th
665, 669 n.2 (11th Cir. 2022) (finding that a defendant could not waive the ap-
plication of the Blockburger test in connection with asserting a violation of the
Double Jeopardy Clause). And we are required to apply the clear-statement
rule to legislation passed under Congress’s Spending Clause authority. See,
e.g., Davis, 526 U.S. at 640 (“In interpreting language in spending legislation,
we thus ‘insis[t] that Congress speak with a clear voice,’ recognizing that
‘[t]here can, of course, be no knowing acceptance [of the terms of the putative
contract] if a State is unaware of the conditions [imposed by the legislation] or
is unable to ascertain what is expected of it.’” (alternations in original)
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 47 of 150

18-13592 Opinion of the Court 47

“sex” to “gender identity” or “transgender status” is so important.
Adams’s view of what constitutes “sex” for purposes of Title IX will
have ramifications far beyond the bathroom door at a single high
school in Ponte Vedra, Florida. This is because Title IX’s statutory
carve-out from its general prohibition against sex discrimination
applies to “living facilities,” not only bathrooms. 20 U.S.C. § 1686.
And the same regulation that authorizes schools to provide sepa-
rate bathrooms on the basis of sex also permits schools to provide
separate “locker room . . . and shower facilities on the basis of sex.”
34 C.F.R. § 106.33. Therefore, affirming the district court’s order,
and equating “sex” with “gender identity” or “transgender status”
for purposes of Title IX, would, at the very least, generally impact
living facilities, locker rooms, and showers, in addition to bath-
rooms, at schools across the country—affecting students in kinder-
garten through the post-graduate level.
For the same reason, affirming the district court’s order
would have broad implications for sex-separated sports teams at
institutions subject to Title IX, including public schools and public
and private universities. While Title IX says nothing specifically
about sports, its implementing regulations do. Those regulations,
which necessarily flow from Title IX’s general prohibition against
sex discrimination, mirror the blanket-rule-with-specific-exception
framework that Title IX applies to living facilities. The

(quoting Pennhurst, 451 U.S. at 17)). For these reasons, Adams’s contention
lacks merit.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 48 of 150

48 Opinion of the Court 18-13592

implementing regulations say, first, that “[n]o person shall, on the
basis of sex, be excluded from participation in . . . any interscholas-
tic, intercollegiate, club or intramural athletics offered by a recipi-
ent [of federal funds], and no recipient shall provide any such ath-
letics separately on such basis.” 34 C.F.R. § 106.41(a). In the very
next paragraph, however, the regulations instruct that, notwith-
standing the above statement, “a recipient may operate or sponsor
separate teams for members of each sex where selection for such
teams is based upon competitive skill or the activity involved is a
contact sport.” Id. § 106.41(b). Thus, equating “sex” to “gender
identity” or “transgender status” would also call into question the
validity of sex-separated sports teams.
To be sure, the district court disclaimed any suggestion that
its decision would apply beyond the bathroom. But Title IX is not
so limited; it applies to “living facilities,” 20 U.S.C. § 1686, “toilet,
locker room, and shower facilities,” 34 C.F.R. § 106.33, and sports
teams, id. § 106.41, at any institution subject to its mandates. The
district court did not identify any textual or other support—be-
cause there is none—for its claim that its reading of “sex” applies
only to high school bathrooms. Neither can the dissent identify
any textual or persuasive support to cabin the district court’s deci-
sion to high school bathrooms. Jill Pryor Dis. Op. at 62-64. If “sex”
as used in Title IX means “gender identity” or “transgender status,”
then there is simply no principled reason to limit application of the
district court’s reasoning to the high school bathroom. Absent a
clear statement from Congress, such a reading of Title IX would
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 49 of 150

18-13592 Opinion of the Court 49

offend first principles of statutory interpretation and judicial re-
straint.
****
In sum, commensurate with the plain and ordinary meaning
of “sex” in 1972, Title IX allows schools to provide separate bath-
rooms on the basis of biological sex. That is exactly what the
School Board has done in this case; it has provided separate bath-
rooms for each of the biological sexes. And to accommodate
transgender students, the School Board has provided single-stall,
sex-neutral bathrooms, which Title IX neither requires nor prohib-
its. Nothing about this bathroom policy violates Title IX. Moreo-
ver, under the Spending Clause’s clear-statement rule, the term
“sex,” as used within Title IX, must unambiguously mean some-
thing other than biological sex—which it does not—in order to
conclude that the School Board violated Title IX. The district
court’s contrary conclusion is not supported by the plain and ordi-
nary meaning of the word “sex” and provides ample support for
subsequent litigants to transform schools’ living facilities, locker
rooms, showers, and sports teams into sex-neutral areas and activ-
ities. Whether Title IX should be amended to equate “gender iden-
tity” and “transgender status” with “sex” should be left to Con-
gress—not the courts.
IV. CONCLUSION
For all these reasons, we reverse and remand the district
court’s order.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 50 of 150

50 Opinion of the Court 18-13592

REVERSED AND REMANDED.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 51 of 150

18-13592 LAGOA, J., Specially Concurring 1

LAGOA, Circuit Judge, Specially Concurring:
I concur fully in the majority opinion’s determination that
the School Board of St. Johns County’s unremarkable bathroom
policy neither violates the Equal Protection Clause nor Title IX. I
write separately to discuss the effect that a departure from a bio-
logical understanding of “sex” under Title IX—i.e., equating “sex”
to “gender identity” or “transgender status”—would have on girls’
and women’s rights and sports.
As discussed in the majority opinion, Title IX does not ex-
plicitly define “sex” within its statutory scheme and corresponding
implementing regulations. And Title IX’s statutory language says
nothing specifically about sports. But the Title IX regulations that
apply to sports do, and those regulations mirror the blanket-rule-
with-specific-exception framework that Title IX statutorily applies
to living facilities. Indeed, notwithstanding the broad prohibition
against discrimination “on the basis of sex” in athletics, 34 C.F.R.
§ 106.41(a), the implementing regulations also allow a recipient of
federal funds to “operate or sponsor separate teams for members
of each sex where selection for such teams is based upon competi-
tive skill or the activity involved is a contact sport,” id. § 106.41(b).
As with all of Title IX’s regulatory carve-outs allowing certain sex-
separated activities, the interpretation of “sex” in the sex-separated
sports carve-out flows from the meaning of “sex” within Title IX
itself. And the interpretation of “sex” in the statute “would of
course take precedence” when interpreting “sex” in the regulatory
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 52 of 150

2 LAGOA, J., Specially Concurring 18-13592

sports carve-out. Bostock v. Clayton County, 140 S. Ct. 1731, 1779
n.48 (2020) (Alito, J., dissenting).
Affirming the district court’s order and adopting Adams’s
definition of “sex” under Title IX to include “gender identity” or
“transgender status” would have had repercussions far beyond the
bathroom door. There simply is no limiting principle to cabin that
definition of “sex” to the regulatory carve-out for bathrooms under
Title IX, as opposed to the regulatory carve-out for sports or, for
that matter, to the statutory and regulatory carve-outs for living
facilities, showers, and locker rooms. And a definition of “sex” be-
yond “biological sex” would not only cut against the vast weight of
drafting-era dictionary definitions and the Spending Clause’s clear-
statement rule but would also force female student athletes “to
compete against students who have a very significant biological ad-
vantage, including students who have the size and strength of a
male but identify as female.” Id. at 1779–80. Such a proposition—
i.e., commingling both biological sexes in the realm of female ath-
letics—would “threaten[] to undermine one of [Title IX’s] major
achievements, giving young women an equal opportunity to par-
ticipate in sports.” Id. at 1779.
To understand why such a judicially-imposed proposition
would be deleterious, one need not look further than the neighbor-
hood park or local college campus to see the remarkable impact
Title IX has had on girls and women in sports. At nearly every park
in the country, young girls chase each other up and down soccer
fields, volley back and forth on tennis courts, and shoot balls into
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 53 of 150

18-13592 LAGOA, J., Specially Concurring 3

hoops. And at colleges, it is now commonplace to see young
women training in state-of-the-art athletic facilities, from swim-
ming pools to basketball arenas, with the records of their accolades
hung from the rafters.
The implementation of Title IX and its regulations is the rea-
son such scenes are now commonplace because Title IX “precipi-
tated a virtual revolution for girls and women in sports.” Deborah
Brake, The Struggle for Sex Equality in Sport and the Theory Be-
hind Title IX, 34 U. Mich. J.L. Reform 13, 15 (2000). Indeed, “Title
IX has paved the way for significant increases in athletic participa-
tion for girls and women at all levels of education.” Id. Its effects
in this regard have been noteworthy:
Fewer than 300,000 female students participated in in-
terscholastic athletics in 1971. By 1998–99, that num-
ber exceed 2.6 million, with significant increases in
each intervening year. To put these numbers in per-
spective, since Title IX was enacted, the number of
girls playing high school sports has gone from one in
twenty-seven, to one in three.
Id. (footnotes omitted).
And, as courts and commentators have noted, “Title IX
shapes women’s interest [in sports], rather than merely requiring
equality based on a preexisting level of interest.” See David S. Co-
hen, Title IX: Beyond Equal Protection, 28 Harv. J.L. & Gender
217, 263 (2005) (emphasis added) (citing Cohen v. Brown Univ., 101
F.3d 155, 188 (1st Cir. 1996)). “What stimulated [the] remarkable
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 54 of 150

4 LAGOA, J., Specially Concurring 18-13592

change in the quality of women’s athletic competition was not a
sudden, anomalous upsurge in women’s interest in sports, but the
enforcement of Title IX’s mandate of gender equity in sports.” Co-
hen, 101 F.3d at 188 (citing Robert Kuttner, Vicious Circle of Ex-
clusion, Wash. Post, Sept. 4, 1996, at A15). In short, “[t]here can be
no doubt that Title IX has changed the face of women’s sports as
well as our society’s interest in and attitude toward women athletes
and women’s sports.” Id.
But had the majority opinion adopted Adams’s argument
that “sex,” as used in Title IX, includes the concept of “gender iden-
tity” or “transgender status,” then it would have become the law
of this Circuit for all aspects of the statute. Under such a precedent,
a transgender athlete, who is born a biological male, could demand
the ability to try out for and compete on a sports team comprised
of biological females. Such a commingling of the biological sexes
in the female athletics arena would significantly undermine the
benefits afforded to female student athletes under Title IX’s allow-
ance for sex-separated sports teams.
This is because it is neither myth nor outdated stereotype
that there are inherent differences between those born male and
those born female and that those born male, including transgender
women and girls, have physiological advantages in many sports.
Doriane Lambelet Coleman, et al., Re-affirming the Value of the
Sports Exception to Title IX’s General Non-Discrimination Rule,
27 Duke J. Gender L. & Pol’y 69, 87–88 (2020). While pre-puberty
physical differences that affect athletic performance are “not
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 55 of 150

18-13592 LAGOA, J., Specially Concurring 5

unequivocally negligible” between males and females, measurable
physical differences between males and females develop during pu-
berty that significantly impact athletic performance. Emma N. Hil-
ton & Tommy R. Lundberg, Transgender Women in The Female
Category of Sport: Perspectives on Testosterone Suppression and
Performance Advantage, 51 Sports Medicine 200–01 (2021). In-
deed, during puberty, “testosterone levels increase 20-fold in
males, but remain low in females, resulting in circulating testos-
terone concentrations at least 15 times higher in males than in fe-
males of any age.” Id. at 201. And “the biological effects of elevated
pubertal testosterone are primarily responsible for driving the di-
vergence of athletic performances between males and females.” Id.
For example, in comparison to biological females, biological
males have: “greater lean body mass,” i.e., “more skeletal muscle
and less fat”; “larger hearts,” “both in absolute terms and scaled to
lean body mass”; “higher cardiac outputs”; “larger hemoglobin
mass”; larger maximal oxygen consumption (VO2 max), “both in
absolute terms and scaled to lean body mass”; “greater glycogen
utilization”; “higher anaerobic capacity”; and “different economy
of motion.” The Role of Testosterone in Athletic Performance,
Duke Ctr. for Sports L. & Pol’y 1 (Jan. 2019). These physical differ-
ences cut directly to the “main physical attributes that contribute
to elite athletic performance,” as recognized by sports science and
sports medicine experts. Id. In tangible performance terms, studies
have shown that these physical differences allow post-pubescent
males to “jump (25%) higher than females, throw (25%) further
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 56 of 150

6 LAGOA, J., Specially Concurring 18-13592

than females, run (11%) faster than females, and accelerate (20%)
faster than females” on average. Jennifer C. Braceras, et al., Com-
petition: Title IX, Male-Bodied Athletes, and the Threat to
Women’s Sports, Indep. Women’s F. & Indep. Women’s L. Ctr. 20
(2021) (footnotes omitted). The largest performance gap may be
seen “in the area of strength.” Id. Studies also have shown that
males “are able to lift 30% more than females of equivalent stature
and mass,” as well as punch with significantly greater force than
females. Id.
Importantly, scientific studies indicate that transgender fe-
males, even those who have undergone testosterone suppression
to lower their testosterone levels to within that of an average bio-
logical female, retain most of the puberty-related advantages of
muscle mass and strength seen in biological males. See generally,
e.g., Hilton & Lundberg, supra. As such, “trans women and girls
remain fully male-bodied in the respects that matter for sport; [and]
because of this, their inclusion effectively de-segregates the teams
and events they join.” Coleman et al., supra, at 108. This is be-
cause:
[F]emale sport is by design and for good reasons, a re-
productive sex classification. These reasons have
nothing to do with transphobia and everything to do
with the performance gap that emerges from the on-
set of male puberty. Whether one is trans or not, if
one is in sport and cares about sex equality, this phys-
ical phenomenon is undeniably relevant. Changing
how we define “female” so that it includes individuals
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 57 of 150

18-13592 LAGOA, J., Specially Concurring 7

of both sexes, and then disallowing any distinctions
among them on the basis of sex, is by definition and
in effect a rejection of Title IX’s equality goals.
Id. at 133.
As particularly relevant to this appeal, such physiological dif-
ferences exist in high school sports. See id. at 89–90. While most
studies look at the differences between the best or “elite class” fe-
males in sport as compared to their male counterparts, “[i]t is per-
haps more important . . . that those girls who are only average high
school athletes . . . would fare even worse.” Id. at 90. Looking to
these young women and girls, “if sport were not sex segregated,
most school-aged females would be eliminated from competition
in the earliest rounds.” Id. For that matter, many biological girls
may not even make the team, missing out on the key skills learned
from participation in sports and missing out on key opportunities
to further their education through higher education scholarships.
See id. at 72.
But why does it matter if women and girls are given the
equal opportunity to compete in sports? The answer cuts to the
heart of why Title IX is seen as such a success story for women’s
rights and why this case presents significant questions of general
public concern. “Girls who play sports stay in school longer, suffer
fewer health problems, enter the labor force at higher rates, and
are more likely to land better jobs. They are also more likely to
lead.” Beth A. Brooke-Marciniak & Donna de Varona, Amazing
Things Happen When You Give Female Athletes the Same
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 58 of 150

8 LAGOA, J., Specially Concurring 18-13592

Funding as Men, World Econ. F. (Aug. 25, 2016),
https://www.weforum.org/agenda/2016/08/sustaining-the-
olympic-legacy-women-in-sports-and-public-policy/. “[R]esearch
shows stunningly that 94[] percent of women C-Suite executives
today played sport, and over half played at a university level.” Id.;
Coleman et al., supra, at 106. Being engaged in sports “inculcate[s]
the values of fitness and athleticism for lifelong health and well-
ness” and “impart[s] additional socially valuable traits including
teamwork, sportsmanship, and leadership, as well as individually
valuable traits including goal setting, time management, persever-
ance, discipline, and grit.” Coleman et al., supra, at 104. To open
up competition to transgender women and girls hinders biological
women and girls—over half of the United States population—from
experiencing these invaluable benefits and learning these traits. In-
deed:
[T]he sports exception to Title IX’s general nondis-
crimination rule has long been one of the statute’s
most popular features. This affirmative approach is
understood to be necessary to ensure that the sex-
linked differences that emerge from the onset of male
puberty do not stand as obstacles to sex equality in
the athletic arena. From the beginning, it was under-
stood that any different, sex neutral measures would
ensure precisely the opposite—that spaces on selec-
tive teams and spots in finals and podiums would all
go to boys and men. The sports exception makes it
possible for women and girls also to benefit from the
multiple positive effects of these experiences, and for
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 59 of 150

18-13592 LAGOA, J., Specially Concurring 9

their communities and the broader society to reap the
benefits of their empowerment.
Id. at 132 (footnote omitted).
Affirming the district court’s conclusion that “the meaning
of ‘sex’ in Title IX includes ‘gender identity’” would open the door
to eroding Title IX’s beneficial legacy for girls and women in sports.
And removing distinctions based on biological sex from sports, par-
ticularly for girls in middle school and high school, harms not only
girls’ and women’s prospects in sports, but also hinders their devel-
opment and opportunities beyond the realm of sports—a signifi-
cant harm to society as a whole.
****
To summarize, as a matter of principled statutory interpre-
tation, there can only be one definition of “sex” under Title IX and
its implementing regulations. Departing from a biological and re-
productive understanding of such a definition, as supported by the
overwhelming majority of drafting-era dictionaries, would have
vast societal consequences and significantly impact girls’ and
women’s rights and sports. The majority opinion is correct not to
depart from such an understanding absent a clear statement from
Congress. Whether “sex,” as set forth in a statute enacted in 1972,
should be updated to include “gender identity” or “transgender sta-
tus” is best left for Congress and the democratic and legislative pro-
cesses—not to unelected members of the Judiciary.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 60 of 150

18-13592 WILSON, J., dissenting 1

WILSON, Circuit Judge, dissenting:
I concur fully with Judge Jordan’s analysis and agree that we
should analyze the bathroom policy as a gender-based classifica-
tion. I write separately, with his analysis in mind, to add that even
accepting the Majority’s argument that the relevant factor is an in-
dividual’s biological sex, the policy is still discriminatory, and there-
fore we must engage in a robust Title IX and Equal Protection anal-
ysis.
Under the Majority’s rationale, the bathroom policy distin-
guishes between boys and girls on the basis of biological sex—
“which the School Board determines by reference to various docu-
ments, including birth certificates, that students submit when they
first enroll in the School District.” Maj. Op. at 4. Because the policy
uses these same indicia for all students, according to the Majority,
the policy is not discriminatory. See Maj. Op. at 31. Underlying
this sex-assigned-at-matriculation bathroom policy, however, is the
presumption that biological sex is accurately determinable at birth
and that it is a static or permanent biological determination. In
other words, the policy presumes it does not need to accept
amended documentation because a student’s sex does not change.
This presumption is both medically and scientifically flawed. After
considering a more scientific and medical perspective on biological
sex, it is clear that the bathroom policy’s refusal to accept updated
medical documentation is discriminatory on the basis of sex.
I. Biological Sex is Not Static
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 61 of 150

2 Wilson, J., dissenting 18-13592

For argument’s sake, I adopt the Majority’s succinct defini-
tion of biological sex: sex based on chromosomal structure and
anatomy at birth. Under this definition, assigning sex at birth is
typically a non-issue. Any person who has been in a delivery room
knows that doctors routinely and with little effort ascertain an in-
fant’s biological sex. For this reason, it is easy to presume that iden-
tifying biological sex is per se accurate and correctly determinable
in the first instance.
However, there are thousands of infants born every year
whose biological sex is not easily or readily categorizable at birth.
As Allan M. Josephson, M.D., an expert witness for the School
Board, explained, “there are rare individuals who are delineated ‘in-
tersex’ because they have physical, anatomical sex characteristics
that are a mixture of those typically associated with male and fe-
male designations (e.g. congenital adrenal hyperplasia).”
The word intersex is an umbrella term describing a range of
natural physiological variations—including external genitals, inter-
nal sex organs, chromosomes, and hormones—that complicate the
typical binary of male and female. Intersex is not a gender identity
nor a sexual orientation, but rather a way to describe conditions of
physiological development. These variations occur for a variety of
reasons, and the consequent developmental variations may be-
come apparent at different ages. Intersex people have been
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 62 of 150

18-13592 Wilson, J., dissenting 3

recognized for millennia,1 and courts have been confronted with
many intersex-related legal issues.2
For many intersex people, biological sex is not determinable
at birth. Although intersex people are not the same as LGBTQ
people, they face many of the same issues. Many intersex individ-
uals are assigned a particular sex at birth based on the available in-
dicia at the time, live their childhood as that sex, and later discover
during adolescence—due to biological changes—that they in fact
have the chromosomal or reproductive attributes of the opposite
sex. Under the Majority’s conception of male and female based on
genital and chromosomal indicia—their biological sex assignment
has changed.
Take for instance individuals who have 5-alpha reductase, a
condition where the person has XY chromosomes (i.e., “male”
chromosomes) and an enzyme deficiency that prevents the body

1Justinian’s Code, for example, recognized “hermaphrodites” and instructed
they should be assigned whichever “sex . . . predominates.” 1 Enactments of
Justinian: The Digest or Pandects, tit. 5 para. 10 (Scott ed. 1932).
2See, e.g., Zzyym v. Pompeo, 958 F.3d 1014 (10th Cir. 2020) (considering in-

tersex identity on a passport application); M.C. ex rel. Crawford v. Amrhein,
598 F. App’x 143, 149 (4th Cir. 2015) (considering whether sex reassignment
surgery in infancy violated a constitutional right to delay medically unneces-
sary intervention); Thompson v. Lengerich, 798 F. App’x 204, 213 (10th Cir.
2019) (considering equal protection implications for intersex inmates who are
guaranteed private showers).
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 63 of 150

4 Wilson, J., dissenting 18-13592

from properly processing testosterone.3 At birth, because the body
did not produce enough testosterone to generate external male
genitalia, the infant will present as female. Later in life, because
hormonal changes at puberty produce active testosterone, male
genitalia can develop. So, an infant with 5-alpha reductase assigned
female at birth can later develop male genitalia and discover under-
lying male chromosomes. Medical professionals would most cer-
tainly, in the second-instance, recategorize him as biologically
male.
5-alpha reductase is not the only condition that causes de-
layed genital development, and there are similar conditions that
cause the existence of ovaries to remain hidden until puberty and
ovulation. Deanna Adkins, M.D., a pediatric endocrinologist at
Duke University and expert for the plaintiff, explained that intersex
variations occur frequently enough that doctors use a scale called
the Prader Scale to describe the genitalia on a spectrum from male
to female.
How then, does the bathroom policy account for intersex
people?

3 Deanna Adkins, M.D., a pediatric endocrinologist at Duke University and
expert for the plaintiff, explained this condition in her report along with the
following medical conditions that lead to intersex development: Complete An-
drogen Insensitivity, Klinefelter Syndrome, Turner Syndrome, Mosaic Turner
Syndrome, congenital adrenal hyperplasia, and cloacal exstrophy.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 64 of 150

18-13592 Wilson, J., dissenting 5

II. The Bathroom Policy is Discriminatory on Biological
Sex Grounds

Despite the scientific reality that intersex individuals exist
and develop changes in the presentation of their biological sex over
time, the School Board policy refuses to accept changes to gender
or sex documentation after matriculation. The student with 5-al-
pha reductase who develops male genitalia and discovers male
chromosomes would be barred from updating their biological sex
documentation and, per the policy, remains bound to continue us-
ing the female restroom despite having medically documented
male genitalia.
Thus, these intersex students, unlike other students, cannot
use the bathroom associated with their medically assigned biologi-
cal sex. No other category of student is required to use the bath-
room associated with the opposite biological sex, and therefore
such a policy is plainly discriminatory.
All of this makes the Majority’s deployment of the “prover-
bial straw man” all the more troubling. Jordan Diss. Op. at 13. By
leading the court down this path of “biological sex,” misconstruing
Adams’s argument the whole way, the Majority interprets the
School Board’s policy to avoid one constitutional challenge—that
the policy is discriminatory on the basis of gender—while inviting
another—that the policy is discriminatory on the basis of sex.
III. The Bathroom Policy Does Not Cure the School
Board’s Privacy Concerns
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 65 of 150

6 Wilson, J., dissenting 18-13592

The existence of intersex students also reveals how nonsen-
sical the Majority’s justification for the bathroom policy is. Despite
the Majority artfully sidestepping the constitutional analysis, they
still devote many pages of their opinion to explaining that the pol-
icy alleviates “privacy, safety, and welfare concerns.” See Maj. Op.
at 5. Without belaboring the point, intersex students do exist; they
have or can develop unexpected genitalia. Biological females may
still have male genitalia in the female restroom, and vice versa. A
sex-assigned-at-matriculation bathroom policy cannot prevent that
phenomenon. The case of intersex students therefore proves that
a privacy concern rooted in a thin conception of biological sex is
untenable.
I do not raise the existence of intersex students as a fantasti-
cal hypothetical, but instead as a legitimate issue for consideration.
Our sister circuit recently had to consider how intersex students
disrupt the underlying premise for bathroom policies. See Grimm
v. Gloucester Cnty. Sch. Bd., 972 F.3d 586, 615 (4th Cir. 2020), cert.
denied, 141 S. Ct. 2878 (2021) (“As demonstrated by the record and
amici such as interACT, the Board’s policy is not readily applicable
to other students who, for whatever reason, do not have genitalia
that match the binary sex listed on their birth certificate . . . .”).4
Judge Wynn, in his concurrence, further reasoned:
[i]f the Board’s concern [justifying the policy] were
truly that individuals might be exposed to those with

4 InterACT is an intersex advocacy organization.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 66 of 150

18-13592 Wilson, J., dissenting 7

differing physiology, it would presumably have poli-
cies in place to address differences between pre-pu-
bescent and post-pubescent students, as well as inter-
sex individuals who possess some mix of male and fe-
male physical sex characteristics and who comprise a
greater fraction of the population than transgender
individuals.

Id. at 623.
The same logic applies here. If the School Board were truly
concerned about male genitalia in the female bathroom, or vice
versa, the policy would account for intersex students and would
accept updated documentation.
I conclude by acknowledging that the case before us does
not directly force us to consider the panoply of issues related to
intersex individuals and the Constitution. However, intersex indi-
viduals prove the Majority’s analysis unworkable when applied to
a fact pattern just slightly different from the one before us. We
should not adopt haphazard and incomplete analyses that will rip-
ple out for cases to come, nor should we do so in order to avoid
engaging in the rigorous intermediate scrutiny analysis the Consti-
tution requires. The Fourth Circuit’s initial foray into this topic
suggests that this is a real issue and one that will be before this court
sooner rather than later. For these, and the reasons stated in Judge
Jordan’s capable dissent, I would affirm the district court’s careful
opinion, and I therefore respectfully dissent.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 67 of 150

18-13592 JORDAN, J., Dissenting 1

JORDAN, Circuit Judge, joined by WILSON and ROSENBAUM, Circuit
Judges, Dissenting:
Two legal propositions in this case are undisputed. The first
is that the School Board’s unwritten bathroom policy regulates on
the basis of gender. The second is that the policy, as a gender-based
regulation, must satisfy intermediate scrutiny. Given these two
propositions, the evidentiary record, and the district court’s factual
findings, the School Board cannot justify its bathroom policy under
the Equal Protection Clause of the Fourteenth Amendment. See
Adams by and through Kasper v. Sch. Bd. of St. Johns Cnty., 318 F.
Supp. 3d 1293, 1311–1320 (M.D. Fla. 2018); Adams by and through
Kasper v. Sch. Bd. of St. Johns Cnty., 968 F.3d 1286, 1297–99 (11th
Cir. 2020); Adams v. Sch. Bd. of St. Johns Cnty., 3 F.4th 1299, 1308–
11 (11th Cir. 2021).
The School Board did not allow Drew Adams, a transgender
student, to use the boys’ bathroom. As explained below, however,
the School Board’s policy allows a transgender student just like
Drew to use the boys’ bathroom if he enrolls after transition with
documents listing him as male. Because such a student poses the
same claimed safety and privacy concerns as Drew, the School
Board’s bathroom policy can only be justified by administrative
convenience. And when intermediate scrutiny applies,
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 68 of 150

2 JORDAN, J., Dissenting 18-13592

administrative convenience is an insufficient justification for a gen-
der-based classification.1
I
Intermediate scrutiny requires a showing that the chal-
lenged classification “serves important governmental objectives
and that the discriminatory means employed are substantially re-
lated to the achievement of those objectives.” United States v. Vir-
ginia, 518 U.S. 515, 533 (1996) (internal quotation marks and cita-
tions omitted). “The burden of justification is demanding,” and
here it “rests entirely on” the School Board. Id.
In a number of cases applying intermediate scrutiny, the Su-
preme Court has held that a gender-based regulation cannot be jus-
tified on the basis of administrative convenience. These cases are
Craig v. Boren, 429 U.S. 190, 198 (1976) (“Decisions following Reed
[v. Reed, 404 U.S. 71 (1971)] . . . have rejected administrative ease
and convenience as sufficiently important objectives to justify gen-
der-based classifications.”); Orr v. Orr, 440 U.S. 268, 281 (1979)
(where there is “no reason” to use “sex as a proxy for need,” “not
even an administrative-convenience rationale exists to justify oper-
ating by generalization or proxy”); Wengler v. Druggists Mut. Ins.

1 The district court awarded Drew the same damages for both the equal pro-
tection claim and the Title IX claim, noting that the injuries arising out of these
violations were “identical” and specifying that he was not entitled to double
recovery. See D.E. 192 at 68 n.58. As an affirmance on the equal protection
claim is sufficient to uphold the judgment, I do not address the Title IX claim.
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 69 of 150

18-13592 JORDAN, J., Dissenting 3

Co., 446 U.S. 142, 151–52 (1980) (holding that the bare assertion of
a difference in the economic standing of working men and women
“falls far short of justifying gender-based discrimination on the
grounds of administrative convenience”); and Stanley v. Illinois,
405 U.S. 645, 656–57 (1972) (although “[p]rocedure by presumption
is always cheaper and easier than individualized determination[,]”
the “Constitution recognizes higher values than speed and effi-
ciency”).
This is not a controversial proposition. Scholars and com-
mentators agree that administrative convenience cannot save a
gender-based classification under intermediate scrutiny. See, e.g.,
Laurence H. Tribe, American Constitutional Law 1568 n.24 (2d ed.
1988) (explaining that, at the time of its decision in Wengler, the
Supreme Court had “never upheld a gender classification on [the]
basis” of administrative convenience); 1 William J. Rich, Modern
Constitutional Law: Liberty and Equality § 13:5 (3d ed. 2021) (not-
ing that the Supreme Court has “repeatedly concluded that admin-
istrative convenience served by use of [traditional gender] stereo-
types will not meet a state’s need for an ‘important governmental
interest’”); Gabrielle Fromer, With Equal Opportunity Comes
Equal Responsibility: The Unconstitutionality of a Male-Only
Draft, 18 Geo. J. of Gender & L. 173, 189 (2017) (“Administrative
convenience is an insufficient basis to uphold a law under interme-
diate scrutiny.”).

II
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 70 of 150

4 JORDAN, J., Dissenting 18-13592

The School Board’s unwritten bathroom policy is that, for
grades four and up, “biological boys” must use the boys’ bathrooms
and “biological girls” must use the girls’ bathrooms, with the terms
boys and girls defined as the sex assigned at birth. See D.E. 162 at
10–11. For transgender students, the policy purportedly requires
them to use the bathrooms that correspond to their sex assigned at
birth—in conflict with their gender identity—or gender-neu-
tral/single-stall bathrooms. But, as the district court found, that is
not really how the policy works.
A
As the School Board’s own witnesses explained at trial, a stu-
dent’s enrollment paperwork—which are “accept[ed] . . . at face
value”—controls for the purpose of the bathroom policy. In other
words, for the School Board the enrollment documents dictate gen-
der with respect to the bathroom policy. See D.E. 161 at 229, 234–
35; D.E. 162 at 12–13, 50–51.
Drew registered in the St. Johns County school system as an
incoming fourth-grader prior to his transition. See D.E. 192 at 24.
When he did so, he submitted enrollment documentation reflect-
ing his sex assigned at birth, including a birth certificate that listed
his gender as “female.” See D.E. 161 at 31–32. The School Board
therefore classified him as a girl based on his original enrollment
documents. See D.E. 161 at 253. Years later, the School Board con-
tinued to classify him as a girl for the purposes of its bathroom pol-
icy even after he (i) had transitioned socially at school (including
using male pronouns), (ii) had a double mastectomy, and (iii) had
USCA11 Case: 18-13592 Document: 304-1 Date Filed: 12/30/2022 Page: 71 of 150

18-13592 JORDAN, J., Dissenting 5

his Florida driver’s license and current Florida birth certificate
changed to list him as male. See D.E. 160-1 at 95–96 (social transi-
tion), 99–101 (medical transition), 108–110 (legal transition).
The problem for the School Board is that a transgender stu-
dent who is the same age as Drew and is like him in all relevant
respects (including physical appearance and the stage of gender
transition and gender identity) will be treated as a boy for purposes
of the bathroom policy if he registers in the school system after
starting gender transition and after changing his driver’s license and
birth certificate to indicate that he is male. That transgender stu-
dent, who presents the same safety and privacy concerns that the
School Board claims Drew does, would nevertheless be allowed to
use the boys’ bathroom. This is fatal under intermediate scrutiny.
Here is the testimony of Sallyanne Smith, the retired direc-
tor of student services for the School Board:
Q: If a . . . transgender child comes in with a birth
certificate that says their gender identity, they come
in with a driver’s license, would St. Johns admit that
student in their school?
A:

[Text truncated at 120,000 characters. The full text is on the page linked above.]

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/9351529. Public record. Not legal advice.
