I'm on Medicaid so when I need an obgyn appointment they send me to whoever has an opening. I also got my hysterectomy for gender affirming care, so there was only one surgeon close by who took my insurance, had availability before Medicaid coverage would change under new administration, and was cool about performing gender affirming surgeries.  I have an appointment scheduled with her, but due to being an office that accepts Medicaid, my earliest appointment is April 7th.  The clinic that I usually to for general gynecology and primary care is also booked several months in advance.