Money, money, money... it's the only thing that solves all problems. Too bad all these surgeries are deemed cosmetic rather than medical. Imagine an evil queen from Narnia telling any cisgender woman, "Tomorrow you'll wake up as a grown man with years of testosterone changing all your bones and skin structure; your nose will enlarge, your jaw with broaden, your adam's apple will protrude, your feminine voice will deepen into a rough male's voice... your shoulders will broaden, facial hair will grow---- transform--- transform...... your feet will grow, your hips will shrink' *insert cackle*". It's not cosmetic, it's essential.