“I do not think there is much money in “sexual assignment” surgery, nor will there ever be”.
There are 5 US hospitals churning them out at $75,000 a pop plus a lifetime of drugs.
Chicken feed, by volume. Heart surgery or a hip replacement is about the same amount.
I was not clear: People are not doing this for the money, they are in it because if ideology. In ten years there will many, hundreds, of lawsuits against practitioners of this ghastly ritual. The downside risk to this kind of surgery is bottomless.