The 2016 Trans Inquiry report expressed grave and robust concern at the state of transition-related healthcare in the UK. Yet in the years since the damning conclusions of the Trans Inquiry, nothing has been done to address this crisis. In Britain, there is barely any political will to reform trans healthcare. The Conservative government, never particularly keen on increasing public spending for minorities that don’t wield much economic power, instead hoped that reforming the Gender Recognition Act 2004 would be a cheap way to signal its benevolence to the trans community.