The short answer is no.
To discuss that further, affirmation surgeries are an expensive and invasive set of procedures. If you can’t afford it, don’t have insurance, can’t be away from work for 6 to 8 weeks or are a poor medical candidate for surgical procedures, it won’t happen. The last statistic I saw a few years back had a surprisingly low percentage. As I remember, only about 30 percent of trans folks had affirmation surgeries.
We must also remember that the procedures are also quite invasive as surgeries go. That can also be a buzz kill.
For my own situation, I have no desire to do affirmation surgeries and I also have no desire to do HRT. It is enough for me that I present as DeeAnn 98% of the time. She is the person of record in the 5 organizations where I hold office. She has her own credit card and very few here even know that there is a Don. I don’t see anything changing in the foreseeable future…