The Washington Post has a very long article about Pullman Regional Hospital and Gritman Medical Center, and their decision to start doing transgendering surgeries.
A small-town doctor wanted to perform surgeries for transgender women. He faced an uphill battle.
The surgeon had spent several years preparing – reading medical journals, finding someone to train him, practicing on cadavers – until only one hurdle remained: getting permission for the medical procedure he wanted to bring to this small community on the Washington-Idaho border.