It's hard to believe that in the 33 years since the Americans with Disabilities Act (ADA) was enacted there has not been a single case to decide whether a medical condition known as "gender dysphoria" is protected under the law. That streak came to an end when the U.S. Court of Appeals for the Fourth Circuit held in Williams v. Kincaid, 45 F.4th 759 (4th Cir. 2022), that gender dysphoria is, indeed, a disability worthy of protection under federal disability discrimination laws. When the decision came down last August, many in the LGBTQIA+ community, and allies alike, heralded the unprecedented decision.