It has been said that if Karl Rove was “Bush’s brain,” then Fehrnstrom is “Romney’s balls.”

Eric Fehrnstrom, a top aide and political strategist to presumptive Republican presidential candidate former Gov. Mitt Romney (MA), made headlines earlier this year with a gaffe comparing Romney in the primary fight to an “Etch a Sketch” that you can flip over and shake and start over with as a blank slate in the general election. Before he was an adviser to Romney, Fehrnstrom was a political columnist for the Boston Herald. According to a profile in GQ, in 1992, he outed recently-elected Massachusetts Rep. Althea Garrison (R) as a transgender woman, effectively ending her political career.

To Mara Keisling, director of the National Center for Transgender Equality, the malicious outing and the presence of Fehrnstrom on Romney’s staff is simply unacceptable.

The outing of Althea Garrison raises serious questions about the culture of the Romney campaign, where Fehrnstrom operates as a privileged member of the command team and as Romney’s longest-serving, most-trusted political strategist.