I look exactly like George Clooney.  Or more accurately, I look like George Clooney in my mind but when I look in the mirror all I see is a fat middle aged white guy.  This causes me distress.  I demand that society pay all the costs to cosmetically change me to look exactly like George Clooney for my mental health.  Identifying as George Clooney is the only way I will be comfortable in my own skin.

Cosmetically changing your outward physical appearance can no more change a man into a woman or vice versa, than cosmetic surgery will make me a movie star.  Until ovaries and a uterus or testes can be transplanted into the opposite sex, there is no such thing as sex reassignment surgery, it is cosmetic surgery only.