The majority of the public simply does not understand Trans* issues. This is not their fault, no one talks about trans issues, no one educates about them. People have to go by "what they feel about it" or "what they heard in church" or often at best "what I read on the interent".
Most of the people on here who are saying the surgery shouldn't be covered simply do not understand that this is the single most successful treatment for the health and well being of this person involved and is recognized as such by the medical establishment.
Trans people have been left by the wayside for way way too long, and ignored simply because their issues are not "attractive" or "easy". I'm so glad to see that this year will be Seattle VERY FIRST Trans* pride march and event. The future is coming and Trans* people will be there.
If you wish to help the Trans* People in your community to obtain the rights and resources that are due, visit www.genderjusticeleague.com
and give them a hand or a donation.