Susan, search on
http://www.transhealthcare.org/ I found Dr Stiller in Moscow ID, not too far, I have no idea what insurance he accepts.
Kathy, I've never heard of hospital / surgeon is going to let any post-op patient, leave the hospital without a friend to sign you out, especially for something as invasive as vaginoplasty. The general rule is you can't leave in a cab (lyft uber etc) without someone taking responsibility for you.
Now that need for immediate help postop may be critical for everyone. I know it was for me, I couldn't get up out of bed or a chair without help for several days, wanted to spend my time on excercise doing things that were fun and felt healing of my soul, and definitely wanted / needed help with food prep for a week (not counting the first 3 days of inpatient recovery).
At the end of my first week my partner had to return home, I spent 3 days on my own, at which time I was 10 days post-op and they were very hard days indeed. It was thanks to a friend here that I was able to get a necessary ride to my 2nd post-op appointment and then dropped with friends for my final week of the 3 I was required to be in the vicinity of my surgeon.
I consider my recovery was about middle-of-the road. I've heard of people having much easier times as well as much harder.