In many places - including Newfoundland and Labrador - people who want gender reassignment surgery can get some part of it covered under the provincial health plan.
But in Nova Scotia, Prince Edward Island and New Brunswick, people have to travel for the procedures, and pay for it themselves.
That can cost about ten thousand dollars - at a minimum.
The issue heated up recently in Nova Scotia after the former NDP government said it would NOT pay. And then said it would.
Last fall's election put that promise on hold.
Meanwhile, people who want the surgery continue to wait...something that statistics suggest can be very dangerous.
Freelance reporter Maggie Rahr brings us the story...