Things are definitely looking up for the trans community in Ontario, where I live.  In just this past week, we've had an announcement from the provincial government about a new transgender surgery clinic in Toronto, along with the federal government passing bill C-16, which provides for LGBQT rights.  And last year, the provincial government opened up the trans assessment & referral process to more practitioners.  All this on top of GCS being covered by our health care system.  All in all, it sounds pretty good to me.