That is it exactly Kelly. Our NHS knows only too well that it is politically sensitive to spend taxpayers money on SRS if that patient then goes on to say "you know what, this whole living as a woman thing full-time isn't for me afterall" a year or two later. Better to have them prove they can live as a woman full-time before you make them into a full-time woman. It's not a requirement to dress appropriately for a year or two but a requirement NOT to present as male for any reason. It really does mean those potential stumbling blocks to medical transition are dealt with and out of the way before they proceed and spend the money. An example is work, the patient can not continue to present as male at work while in the waiting period. I have no problem with the NHS approach here. Speaking as a taxpayer that funds it and having a wife working in emergency medecine only to aware of funding issues effectively rationing healthcare where it may be needed, I can see the sense in this approach.
