After a suicide attempt in 2008, she started seeing Dr Nadine Lulu, who became her regular therapist and put her forward as an 'ideal candidate' for hormone therapy in July 2010.
That spring, she had spoken with a therapist at a Toronto support group for reportedly less than one hour before she was recommended for hormone therapy.
Rupert Raj, one of the therapists running the group, is a defendant in the case, as well as Dr Rick Lindal, who had apparently not met Michelle before recommending her for hormone therapy.
With these recommendations from multiple medical professionals in the space of a year, Michelle started to transition in 2010.
Dr Pamela Lecce, Dr. Cavacuiti and Dr Suzanne Turner apparently did not consult with a psychologist before prescribing Michelle testosterone.
Michelle went back and forth with mental health issues until Lulu sent her for a full psychological exam with a Dr. Rowden, in which a number of diagnoses were made but her gender dysphoria left unexplored.
Two years later, still battling with her identity, a professional refers her for a procedure to remove her uterus, which is completed in May 2018.