Good article, Joelle! Because I had to wait longer for GCS (about 5 years after transition) due to changing insurance coverage (virtually no insurance covered it in 2011–2012 when I transitioned), I did not have quite as much gatekeeping to put up with. I had already gone through the gatekeeping to get on hormones and, to some extent, changing my name. I also wasn’t able to change the gender marker on my ID until I moved to a more reasonable state.

That said, I can definitely relate to all the time and effort you describe. I agree it is very necessary and can only imagine if I had had my surgery scheduled for right now. The weeks leading up to it were nerve-wracking enough as it was. I wish the best to everyone in that situation and hope everyone is able to keep their strength through all this.

Thanks for writing this,


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Educator, writer, LGBTQ+ advocate, avid reader. Novelist in progress. Website: Empowering the LGBTQ+ community one word at a time.

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