Also, gender transition surgery is extremely rare (about 12,000 a year across all age groups), which is 0.0035 percent of the staggering 335,000,000 US population. The whole thing is blown out of proportion for political reasons. In fact, deaths due to smoking in the US are 480,000 per year, which is more than 40 times the number of gender-affirming/transition surgeries. Shouldn't we focus on saving all those lives rather than interfering with peoples personal lives. I suggest we start focusing on real issues.