Yes. Gender reassignment surgery is not an “on demand” procedure. In other words, individuals cannot simply request sex change surgery without demonstrating readiness for this irreversible, life changing procedure.
Responsible surgeons worldwide adhere to a set of prerequisite steps to ensure that individuals are committed to living as a transgender person who is physically, emotionally, and psychologically prepared for sex reassignment surgery. While surgeons do exercise a certain amount of discretion to determine the readiness of an individual for gender reassignment surgery, there is a widely accepted set of standards following by qualified surgeons around the world. Those standards are reviewed and published by the World Professional Association for Transgender Health Inc., known as WPATH.