A 36 year old male. In 2017, he underwent gender reassignment surgery and changed his name and documents to indicate that his gender was now female. He was given hormones but developed schizophrenia and was diagnosed and treated. For unknown reasons, he developed the idea that his feet were like a man's and were not feminine enough and had a strong aversion to his own feet. He began pouring ice on his feet constantly and kept his feet in ice for about 5 days. He was found in serious condition and an ambulance arrived and took him to hospital where he was diagnosed with hypothermia. Both feet had frostbite and one leg was amputated. The man died after 10 days in hospital.