Currently, when a profile is annotated along the grid, the text is placed as a Graphic Annotation Cell. For right to left profiles, the easeiest fix is to create Annotation Groups and Defs that basically annotate the text backwards. Then, the profile reference is flipped in the sheet view. This allows the profile to be right to left.

HOWEVER, the grid labels (elevation and station) come in as a graphic annotation cell. When the reference is flipped, the location of these cells changes. No longer are the offsets correct or the stationing positioned under the ticks.

IF, the Annotation Cells are switched to a point instead of graphic prior to flipping the reference, this solves the problem.

Please adjust the Grid Text Annotation to be Point Annotation Cells instead of Graphic Annotation Cells.