The John's Hopkins program ended much more quickly than the time it took to develop it. The program's demise took place when Dr. Paul McHugh, a very opinionated Catholic psychiatrist, was installed as the head of the program. He likened TS patients as closet homosexuals, whose requests for SRS were no different than someone asking to have their leg amputated. He sanctioned a study by Dr. Meyer with 50 TS patients which was designed to prove that surgery provided no substantiated positive long term effects. The study techniques were seen as very flawed, but used none the less to shut down the gender transition program at John's Hopkins. Shortly after, Stanford did the same thing. A few years later, GID was put in the DSM as a psychiatric disorder. For more about this, you can read:
http://www.tsroadmap.com/info/paul-mchugh.htmlIronically, IMO we are all better off not having the large hospital programs control our destiny. I've read that only 15% of program applicants were accepted. It took Dr. Stanley Biber, using a simple sketch received from John's Hopkins to start doing his first operations for a fee in Trinidad, CO. I believe that the reduction in the power of the gatekeepers has served us all well. Dr. McHugh's and Meyers attempts to shut down this "blight" on society has come full circle. More patients are getting help now, then ever before. The average age of people beginning HRT and having surgery has begun to lower. Once the economy recovers, we will see this really begin to happen. The bottle neck is more on the availability of qualified surgeons side, rather than on the arbitrary standards of some 1970's era hospital committee. No transwoman, at that time, would have been approved for surgery, if she told the truth about her sexual orientation as anything other than heterosexual. Some European social health programs, like that in Britain, still have some of the same type of hurdles to overcome that we experienced here in the states back during the John's Hopkins period. Overall, We've sure come a long way.