Depends on the situation. If someone had the means and funds to cover their own surgery but still made a page that be low. But in your case, as with a large majority of transgender people one as the old saying goes ''has gotta do what they gotta do''. Living in Canada we dont have to worry about that stuff, and I hope America soon picks up the same system. I wish you luck girl, I hope this works out for you and you get the surgery you deserve <3
Huggles-Ashley