It sounds like a lot of people have tried to fix it with no success. Like she said, the prognosis for natal women with fistulae isn't terribly encouraging either, although it's better than it is for trans women.
Her story does illuminate all the things our system is lacking. There's just nothing in place to handle complications in trans women. But there's no telling if, in an ideal world with board-certification and SRS surgeons having major hospital privileges and an end to transphobia among the medical community, she would have fared any better. Complications unfortunately sometimes do happen, and sometimes they're horrifying, and sometimes they just can't be fixed.
