Well, then if all of these things are so irrelevant, why should programs like Medicaid cover HRT and surgery? Edit: I say this as someone who knows (and cares about) an FTM person who has gotten the hormones, the mastectomy, is going to get facial implants to masculinize her features, all under California's MediCal program. Done, done, done, with hardly a hitch.

Meanwhile, this same person is trying to get a transcranial stimulation treatment in a desperate attempt to heal a lifelong anxiety/depression condition which has left her disabled, after all the SSRIs and mood stabilizers seem to have done nothing. Which is being balked at. I am baffled at why these cosmetic procedures are being greenlighted. After the proud top surgery photos are posted, the same lingering sadness comes to the surface again. The medical industry has thrown its hat in with Team Transition, while efforts to address actual mental health are bypassed as too risky or unreliable.