The term gender transition procedure means any medical or surgical service which seeks to alter or remove physiological or anatomical characteristics or features which are typical for the individuals biological sex, or to instill or create physiological or anatomical characteristics which resemble a sex different from the individuals birth sex, for the purpose of gender transition, including--. physicians services and inpatient and outpatient hospital services, including gender transition surgery, and. prescribed drugs related to gender transition, including puberty-blocking drugs, cross-sex hormones, or other mechanisms to promote the development of feminizing or masculinizing features (in the opposite sex).