that she had secured a private health plan. She said her gender transition while in prison had cost "only $600 over 2 years", explaining that the Department of Defense "got meds at a markdown". Although the Army had agreed in September 2016 to allow her to have gender transition surgery, the operation was not performed before her release. On May 22, 2017, Manning's 2014 lawsuit seeking a federal court to order the Defense Department to provide hormone therapy and other treatment for her gender identity condition was dismissed because, her ACLU attorney explained, "she is free". On October 20, 2018, Manning tweeted a photograph of herself in a hospital bed reportedly recovering from gender reassignment surgery. "After almost a decade of fighting," she wrote, "thru prison, the courts, a hunger strike, and thru the insurance company—I finally got surgery this week." In March 2019, in the context of medical care provided during her re-incarceration, the news media continued to report that she had undergone gender reassignment surgery. In a declaration to the United States District Court for the Eastern District of Virginia filed on May 6, 2019, Manning formally attested that she underwent gender confirmation surgery in October 2018. Prison life In March 2015, Bloomberg News reported that Manning could be visited by only those she had named before her imprisonment, and not by journalists. She could not be photographed or give interviews on camera. Manning was not allowed to browse the web, but could consult print news and have access to new gender theory texts. In April 2015, Amnesty International posted online a letter from Manning in which she described her daily life. "My days here are busy and very routine," she wrote. "I am taking college correspondence courses for a bachelor's degree. I also work out a lot to stay fit, and read newspapers, magazines and books to keep up-to-date on current events around the world and learn new things." Also that month, Cosmopolitan published the first interview with Manning in prison, conducted by mail. Cosmo reported that Manning was optimistic about recent progress but said that not being allowed to grow her hair long was "painful and awkward ... I am torn up. I get through each day okay, but at night, when I'm alone in my room, I finally burn out and crash." Manning said it was "very much a relief" to announce that she is