Sounds like this is a step in the right direction... But I can't Imagine the hoops we would have to jump through to get the va to approve surgery yet alone hrt. If they would accept letters from non VA therapists, or if you have to go to a VA therapist and play their game for them to be told to deny and disprove as many people as they can.
Plus I'm not sure I'd want the quality of the doctors that work for most VA hospitals operating on me yet alone my genitals...