The shit they call "gender affirming"? Lol, no, but it probably wasn't impossible to get your titty skittles and surgery if you were an adult and other treatments over the course of multiple years failed. I know it was possible in Czechoslovakia, it was just extremely rare because people had real problems to worry about and the super rare trannies knew to be quiet and grateful for not just getting locked up in a cage in a basement and pumped with antipsychotics until they shit their kidneys out.