I’m a trans woman and a cis male friend of mine is about to get a mastectomy after losing a ton of weight and as we were talking I learned a blind spot I have. Apparently cis people aren’t just used to fighting with insurers. Like one of the steps of gender affirming surgery is to quote the insurance company back to them after they deny you, getting to not do that is like getting to have surgery with only one or two letters of recommendation.