The fiscal inequality of gender reassignment is irrational.  1% of the population is born LGBTQ.   Spending $150,000 to $250,000 per troop is grossly unfair to "regular" troops, that can't get knee surgery or whatever.   I feel for transgendered people , but it's their problem. They were born that way.  If I don't like my nose, I get a nose job.  And I certainly don't expect anyone else to pay for it. Nose job-hose job, its your cost.