It's all handled differently by local culture and local law, per each country. In my country, any doc can, and often do interrupt the process, faking results or simply refusing treatment as it is against personal religious believes of the doc. Personally, went thru over dozen mental health doctors in my city, and none were friendly to help (ok, one were, for 10000€ over 3 years), currently have to travel for few hours each week to get a little help, that is still interrupted by lot stuff. If we could get some friendly rules by law (and laws are made by state, don't they?), I could maybe have some argue vs doc, currently I'm in sht.

Sorry for personal vent... guess local experiences do affect our pov. Please be assured, Imo transfolks should get best, that includes lots of autonomy.