Final answer:
Regarding gender reassignment surgery, insurance does not always cover the costs, the complexity varies depending on the type of surgery, it is not typically the first step in transition, and while results are often good, they can vary per individual. The most accurate statement is that results are usually considered "good".
Step-by-step explanation:
The question on which statement is true regarding gender reassignment surgery is best answered by addressing each option in turn:
- A. Costs are not always covered by insurance. While some significant victories have been won, such as the Department of Health and Human Services decision that Medicare should cover sexual reassignment surgery, it does not guarantee that all insurance companies will cover these costs, nor that all procedures are covered.
- B. The complexity of the surgery depends on the individual and the specifics of the surgery required. It is not accurate to claim that one direction of surgery (female to male or male to female) is categorically less complex than the other.
- C. Surgery does not usually occur in "stage one" of the transition process. Transitioning can be a multi-stage process involving social, legal, and medical steps, not all of which involve surgery, and not all are undertaken by all individuals.
- D. The results of surgery are subjective and depend on individual experiences and outcomes. While many experience satisfactory results, it is not a universal outcome.
Therefore, the most accurate statement is option D, that results of gender reassignment surgery are described as "good" most of the time, with the understanding that results can vary from person to person.