Warren, I'm so sorry to hear about this - it really sucks what insurance companies look for in "required" procedures, it's inconceivable to me how ongoing pain isn't enough (never mind gender dysphoria!) I really hope this won't make you turn back, you have a lot to give being your authentic self (from what i've seen/read in your blog entries and videos). One would hope that family and friends will eventually come around, but even if not there is a wider community of trans people to connect with - especially if you're ever able to re-locate (if that's what you'd want). Xoxo Christie