The ethics consultants met with the senior clinician to discuss the case. The social worker assigned to the infertility service was also included on the consult. During the consultation, the various parties considered whether the factors of seropositivity, transsexual history, social stigma, psychological health, and cultural or legal bias had any relevant bearing on the clinical demands of the case at hand. After much discussion, it was decided that these factors were immaterial. The senior clinician decided to move forward, and the clinical team proceeded to lay out a treatment plan for the couple. Once the infertility therapy began, however, and the multiple burdens of IVF treatment became clear, both physically and financially, the couple decided to postpone care while they discussed it further. They have not returned for treatment.