I'm Already on the Wrong Side of History Regarding Transgender Surgeries

It looks like this issue is passing me by!  Yesterday it was reported that Oregon will become the 3rd state (in addition to Eleonore Holmes Norton's district) to pay for sexual reassignment surgeries.  And--taking time off from golf--Obama removed the 33 year Medicare ban on the surgeries two months ago.  No doubt soon it will be made a national issue where the alleged right to such surgeries is propagated while the duty to tax for them is not (or the tactic will be to note that the cost will be miniscule...as almost all costs are relative to the bigger government pie).

One wonders, though, whether government funded reassignment-reassignment surgeries (like the case of this guy) will also be in the conversation.  (I think I know the answer to that one). 

Other questions remain:  How old should one be to have the surgery? 3? 8? 11? 18?  If a child has, say, cancer, you take care of the problem right away!  If gender dysphoria is a medical condition treatable by surgery (rather than psychiatry and ministry) it should be able to be diagnosed--and the earlier the better one would think.

Another question: what if you were a female living inside the body of a male serial killer and you later had surgery to be a female? Should Donna take the rap for Doug who no longer exists?