I know you are being rhetorical, but... since the trans lobby has really ramped up the past couple years. Where I live, the state insurance covers "sex reassignment surgery" because that's "medically necessary" for "treating" their dysphoria, but not breast reconstruction for women who have survived cancer, because that's "cosmetic". Lovely. Imo, mangling a dick because he ~feels like a lady~ or lopping off a woman's boobs because "muh man brain" makes as much sense as performing liposuction on someone with a BMI of 16 who's suffering from anorexia.