In my own case, I'm GLAD that I've had to wait. I'm 2 years into my transition now. Looking back, I really don't think that I was truly READY for surgery. I mean, I had transient impulse moments when surgery was all I could think about, but again, looking back, I wasn't ready.
I agree that everyone's needs are different.
I will say, however, that I don't believe that the RLE guideline was put in place to harm anyone. You figure, when the SOC were put in place, they didn't have any evidence or much experience to go on. So they err'd on the side of caution.
Just my .02 cents.