Most of these people are British. So, lack of resources has the NHS pushing back trans surgeries for mastectamies.
Very interesting exchange where a person states they've been waiting 2 years since their mastectomy for the reconstruction (more elective surgery) and was told she may have to do it privately. The original tweeter (not the trans but the feminist) was aghast at the idea that this woman would have to do a private breast reconstruction (augmentation).