As far as I know, the only change was the US passport gender marker change. The standard of care are administered by WPATH and not WHO, so whatever WHO may say does not change the standards of care. I seriously doubt we will see any changes in the standards from psychological to purely medical until we are removed from the DSM. Until that time, the medical community, their malpractice carriers, the insurance industry, and everyone else involved views the SOC as providing a certain amount of protection for providers. Change is incremental, but it is coming.