Jesus fucking CHRIST I am so sorry. That's completely irrelevant gatekeeping across the board (as I'm sure you already know).
I hope you find other avenues because that is atrocious bullshit
oh i mean that surgeon is also a 5hr drive away and i dont have transportation or money, and as far as i can tell it would be extremely hard to find a surgeon willing to take my case even if i did have money given weight & mental health history, even assuming i find one that believes im even trans.