First off good luck with your upcoming VA appointment but as far as I'm concerned crossdressing for either gender is a non medical issue but that the more people you come out to the healthier the mindset is.
I am intimately aware of some of the care given in different parts of the country in the VA healthcare System some is very good while others are terrible. There have been a few tv specials that showed some of the aberrant corruption in the vast VA system I only
hope that in the past few years they have taken some of the necessary
steps to redress some of these situations .
I'm glad to say we have a great VA healthcare facilty in West Haven, Ct both my father and uncle were patients there for years and they always remarked that the care they received was top quality . We also have Yale and St. Raphael's hospitals in close proximity that all
share their excellent professionals. good luck....lacie