Sex reassignment surgery is not a necessity but a perceived necessity created by our societal gender norms. If there were no norms and children were able to express themselves however they chose and people accepted it, they wouldn't feel the need to reassign their sex since dressing and acting as the opposite gender would be perfectly acceptable lifestyle, and not just something associated with a gig at a club.
But yeah. Good for them. I hope they can pay for my nose job next with medicare. After all my true self that I envision to be has a smaller nose. I can't be happy and struggle everyday because of this.