White Out 403, I would encourage you to reach out and discuss the issue with medical specialists engaged in the transgender community. Dr. Joe Raiche, a Calgary-based psychiatrist specializing in transgender issues with youth and adults and would probably be an excellent resource. I think it might be helpful to hear from someone who works directly with these folks and the complex issues they go through.
This article is from 2019, but the context provided even from an Alberta perspective is one that clearly shows there is a demand for transgender services and (at least at the time) did not have enough funding. This can not only include gender-affirming surgery, but also things like hormone therapy and general mental health care.
Head of program’s resignation raises questions about accessibility to transgender care in Alberta
I don't want to derail this thread, but thought it was worth bringing up given the conversation at hand.