MEMORANDUM **

Smiley James Harris, also known as James Lavell Harris, appeals pro se from the district court’s summary judgment in his 42 U.S.C. § 1983 action alleging deliberate indifference to his medical needs. We have jurisdiction under 28 U.S.C. *675 § 1291. We review de novo. Toguchi v. Chung, 391 F.3d 1051, 1056 (9th Cir. 2004). We affirm.

The district court properly granted summary judgment because Harris failed to raise a genuine dispute of material fact as to whether he had a serious medical need, or whether defendants were deliberately indifferent to his health by not providing him with medical marijuana, a wheelchair, or a “no standing” chrono. See id. at 1058. At best, Harris alleged a difference of opinion as to the appropriate treatment for his alleged back pain, but he has not shown that defendants’ decisions were “medically unacceptable under the circumstances,” or made “in conscious disregard of an excessive risk to [Harris’s] health.” Id. (citation and internal quotation marks omitted).

Harris’s contention that the district court should have construed his complaint as including claims of excessive force is rejected.

We do not consider issues not specifically and distinctly raised and argued in the opening brief or issues raised for the first time on appeal. See Smith v. Marsh, 194 F.3d 1045, 1052 (9th Cir. 1999).

AFFIRMED.