MAUREEN P. KELLY, Magistrate Judge.
Plaintiff Alexander Welter is a prisoner currently incarcerated at the State Correctional Institution Fayette ("SCI — Fayette"), and brings this pro se civil rights action pursuant to 42 U.S.C. § 1983, alleging that all named Defendants have shown a deliberate indifference to Ms. Welter's medical needs and have failed to provide safe and gender appropriate housing. ECF No. 3. Pending now before the Court is Plaintiff's second Motion for Preliminary Injunction, ECF No. 16, seeking an Order requiring various defendants, including the Pennsylvania Department of Corrections ("DOC"), to provide an independent medical evaluation of her gender dysphoria treatment to determine the medical necessity of gender confirmation surgery and permanent facial hair removal. ECF No. 16 at 13. In addition, Plaintiff seeks an Order requiring an immediate transfer to a female prison facility.
Due to the serious nature of Plaintiff's allegations, this Court scheduled a Video Status Conference, which occurred on April 29, 2019. ECF No. 6. Plaintiff appeared by video and counsel for the Pennsylvania Department of Corrections ("DOC") entered a special appearance for purposes of the Motion. The Court reviewed Plaintiff's current status. ECF No. 7. Plaintiff stated that she was receiving medical treatment for her gender dysphoria in the form of hormonal therapy and was receiving mental health treatment, and indicated that she was feeling better. She indicated that she was not in physical danger due to her transgender status. DOC counsel informed the Court that Plaintiff was in the process of consideration for gender reassignment surgery and special housing with other similarly identifying transgender inmates, but the process had been halted due to Plaintiff's misconduct, including igniting a fire in her cell. Plaintiff conceded that she had started a fire in anger and that she understood the danger created to herself, and to inmates and staff at her facility.
The Court reviewed the strict standard for the issuance of a Preliminary Injunction, as well as DOC policy guidelines regarding gender reassignment and dysphoria. Plaintiff stated her understanding of the gender reassignment process and her willingness to adhere to the required steps for treatment. Based upon the information provided to the Court regarding Plaintiff's condition and the absence of any immediate danger or threats to Plaintiff's well-being, the Court denied Plaintiff's Motion for Preliminary Injunction. ECF No. 11.
The pending Motion for Preliminary Injunction does not provide any additional facts or arguments that were not previously considered by the Court in resolving the initial motion. ECF No. 16. As was previously explained to Plaintiff, to obtain the "extraordinary remedy" of a preliminary injunction, the moving party must establish: "(1) a likelihood of success on the merits; (2) that [she] will suffer irreparable harm if the injunction is denied; (3) that granting preliminary relief will not result in even greater harm to the nonmoving party; and (4) that the public interest favors such relief."
This 13