In the midst of cash-strapped Californians approving new taxes to prevent further cuts in essential state services, San Francisco health officials appear to have found the money to fund what they say is a much-needed service to residents living in the City by the Bay: Sex changes.

The gender-switching surgeries are part of a comprehensive program for treating transgender people that the city's Health Commission green-lighted on Tuesday and announced two days later. Backers say it will help ease the mental anguish of people who feel they are trapped in bodies of the wrong gender, but critics wonder why the taxpayers should foot the bill.

“Taxpayers cannot afford this, as there are unintended costs and unintended consequences unrelated to the actual surgery, such as their longer-term hormone treatment, psychology needs and other longer term health issues,” said Thomas Moyer, a City by the Bay resident and author of “A Conservative Survival Guide to San Francisco.”

“Taxpayers cannot afford this, as there are unintended costs and unintended consequences unrelated to the actual surgery, such as their longer-term hormone treatment, psychology needs and other longer term health issues,” said Thomas Moyer, a City by the Bay resident and author of “A Conservative Survival Guide to San Francisco.”

Ivan Betinov wrote:Chaz Bono reportedly strapped on a pair of roller skates and broke out in song at the news:

I've got a brand new pair of testicles,
I've got a new pee-pee!
I've been through gender reasignment
and hormone therapy!
I got a good plastic surgeon
to add a new dick to me, now
I've got a brand new pair of testicles
I've got a new pee-pee!