Also cited as harassment of Bailey were legal complaints that Bailey was practicing psychology without a license. The basis for these complaints was that sex-reassignment surgery in the US requires authorization letters from two psychologists, and Bailey had written a second letter, at no charge and upon request, for some individuals Bailey had spoken with while writing the book. American bioethicist Alice Dreger notes that there was no legal basis for this claim, as Bailey received no compensation for his services, and was forthright in his letters about his qualifications, even attaching copies of his C.V.: "Presumably all this was why never bothered to pursue the charge, although you'd never know that from reading the press accounts, which mentioned only the complaints, not that they had petered out." State regulators took no action on these complaints.