At about 60,000 to 100,000 a pop...your tax money
New York State had 211 Sex Reassignments done in 2007 and
thousands of partial assignments at 25,000 to 50,000 each.
You see, according to the New York Law School:
In 1997, however, the New York State Department of Health published a notice proposing a regulation terminating Medicaid payment for any treatment supporting gender transition. After an extended period for public comment, the regulation was adopted providing that “payment is not available for the care, services, drugs or supplies rendered for the purpose of gender reassignment (also known as transsexual surgery) or any care, services, drugs or supplies intended to promote such treatment.” ... U.S. District Judge P. Kevin Castel ruled on August 5 in Casillas v. Daines, 2008 Westlaw 3157825 (S.D.N.Y.), that New York State’s adoption and enforcement of a regulation adopted by the Pataki Administration prohibiting the use of Medicaid funds to pay for sex reassignment treatment does not violate the constitutional right to Equal Protection of the law, and that an individual whose coverage for hormone treatment that had been provided for almost a quarter century until they were cut off by adoption of this regulation has no legal claim against the state for violating her rights to continued Medicaid coverage to maintain her feminine body characteristics..211 sounds mighty high too, given that it's estimated only about 1000 such operations occur in the US annually, with another 2000 on US citizens overseas or in Canada.
In the US, 3 specialist surgeons (none in New York State) account for 50% of such operations, with another 20 performing no more than one a month.