Emeri Burks is a 20-year-old university student. If she does not have genital reassignment surgery before she graduates, it will not be covered by her mother's health insurer. However, because of a risk factor, the surgery must be postponed.Donna Richards is a 52-year-old trans woman who is preparing for genital reassignment surgery. With her is Dave, her partner of five years. She came out at work in 2002, and began to transition soon after.