In an eight to one decision, the U.S. Supreme Court found that the Virginia Sterilization Act of 1924 did not violate the U.S. Constitution. Justice Oliver Wendell Holmes made clear that the challenge was not upon the medical procedure involved, but on the process of the substantive law. The court was satisfied that the Virginia Sterilization Act complied with the requirements of due process since sterilization could not occur until a proper hearing had occurred at which the patient and a guardian could be present and the patient had the right to appeal the decision. They also found that since the procedure was limited to people housed in state institutions it did not deny the patient equal protection of the law. And finally, since the Virginia Sterilization Act was not a penal statute, the Court held that it did not violate the Eighth Amendment since it is not intended to be punitive. Citing the best interests of the state, Justice Holmes affirmed the value of a law like Virginia's in order to prevent the nation from being "swamped with incompetence." The Court accepted, without evidence, that Carrie and her mother were promiscuous and that the three generations of Bucks shared the genetic trait of feeblemindedness. Thus, it was in the state's best interest to have Carrie Buck sterilized. The decision was seen as a major victory for eugenicists.