Most if not all the other names used for the procedure suggest that a person is making a choice to switch genders. This is not about choice; it's about using surgery as one of the therapeutic tools to enable people to be comfortable with their gendered self.
When I received word that Gov. Snyder signed the ban on health care coverage for domestic partners I choked. At this point, it is impossible not to recognize the terrible insults that the LGBT community faces in Michigan.
The recently-released U.S. Department of Health and Human Services' "Healthy People" objectives for the next 10 years include a specific objective of recognizing transgender health needs as medically necessary.