I do realize. I also realize that not anyone can claim to be trapped in the wrong body and get a reassignment surgery. There are all sorts of evaluations first, no? So my question is whether the scans are part of the evaluation. I suspect that (they are not because the scans are inconclusive).
Not that I know of.
The evaluations depend on the state and there are also a lot of requirements, like living as a person of the oppisete gender for a substantial period, attending therpy and getting clearance from a shrink.
Its actually a bit over what is nessasry, IMHO, but I understand the hesitation of the medical professionals who deal with this of making it any easier.
One issue for those who wish to undergo ender reassignment is a similar issue for gastric bypass patients, where they believe this will 'fix' them automatically and thus fail to acknowledge that any underlying pyschlogical issues relating to their surgery have not been addressed. In other words, that by changing their bodies, they have completly change who they are and will now be 'happy'.
By maintaining strigent requairments and evalutations, that problem can be addressed.
But like I said, its a little too much.