Lola Phoenix lives in the UK, which is great because that means they can access the National Health Service (NHS) and the Charing Cross Gender Identity Clinic for help with surgical issues. In this case, they’re asking for top-surgery to reduce the size of breast tissue, a surgery that female identifying people can get at the drop of a hat.
Except they can’t get help, apparently because they don’t identify as either “Male” or “Female”.
Lola’s refusal to identify as either male or female, despite using a female name, caused the clinic to refuse the request for breast reduction surgery. The decision – along with the references to “her” in the hospital’s letter to Lola’s GP, left Lola hurt and upset, but unsurprised.