Further delay was caused by the local psychiatrist's illness, and this took us to 1996. Trips to Charing Cross meanwhile were very expensive and recovering expense from the Social Services lengthy. Vouchers could not be obtained in advance and her partner's fare could not be covered so she had to travel 'en femme' alone, the journey taking so long that stubble was showing by the time she arrived at the London terminus. These pinpricks show really a lack of understanding and excessive bureaucracy on the part of the agencies concerned. And all the while time is ticking by and the money getting shorter, the process getting more difficult and morale taking a dive.
Private surgery is now out of reach.
The final example, D, is genetically female. But he can't stand to urinate. That is fairly crucial. In Brussels perhaps. Even so, a lot of pain, a lot of plastic surgery, scars and very occasionally after a while they fall off.