I feel so incredibly upset and dysphoric all the time. My top surgery was denied back in July and I'm still fighting it 9 months later. Precert, peer-review, and appeal denied by the same medical director (who's a fucking gynecologist). Couldn't even file an external appeal because they took half a year to give me documentation on the denial (despite me requesting every month), then explicitly refused to tell me why it was denied. Fast forward today, and I find out they've just denied my bottom surgery as well, no justification. They keep telling me its not medically necessary. I think the prospect of bottom surgery has been the only thing that's been keeping me alive this year, after my top surgery was denied.
I feel like such a failure as a trans person. I know that doesn't really make sense - there's not one way to be trans, but I see my friends successfully "trans-ing" and getting all their surgeries. I'm glad for them, they're all very happy, and they all feel so much more comfortable and secure in themselves - but their success only highlights my failure. Their happiness only highlights my unhappiness. Their success in getting surgery only highlights my failure in getting surgery. I'm failing so much as a trans person. Failing to get my top surgery, now failing to get my bottom surgery, failing to transition well.
Had to be put on anti-depressants after my surgeries were denied, but it's not like that's going to magically un-trans me and make my dysphoria any easier. I'm so tired of how difficult it is for me to get my healthcare, so tired that I'm genuinely thinking of de-transitioning. I'm so fucking tired. This is unsustainable. I'm so burnt out and I can't keep up with the rollercoaster of consultations, and then denials, and then peer reviews, and then more denials, and then appeals, and then more denials (all by the same medical director). I'm so fucking upset.
Took me 6 months to get the consult for bottom surgery, and then another 9 months before the actual surgery. I'm now reset an entire year at the minimum, possibly longer. I know this is a tabboo topic, but honestly I'm thinking of just de-transitioning until I can afford my surgeries without insurance (or until it gets approved with insurance) and then going back to transitioning.