My doctor actually gatekept me from referring me for bottom surgery for 6 years. Having had it now I realize I should have gotten it many years ago, but my family doctor kept telling me that I wasn’t ready yet. I think in some way she thought she was trying to protect me, but those were some very long, very hard years of waiting. I live in a very progressive community with many laws that advocate for me but gatekeeping is still a very prevalent very real problem here.