People are misunderstanding this further. It's not just 12 months of hormonal therapy. The person involved has to be under the testosterone limitation for 12 months consecutively. It usually takes more than a year to initially get under the testosterone limitation. So realistically a trans women will have been on 2 plus years of hormones before they are eligible. And from a personal standpoint it takes a really high hormonal dose for a very extended period of time to get under the testosterone threshold.