Ok that's a lot worse for HRT than in my country, both as far as waitlist and time required in treatment are concerned. Can' make a general statement for the surgeries because the wait list will be anything from under a year to five years (+ two years just for the initial consult) depending on the clinic. That's on top of the wait list and the therapy duration of the initial referrals, but you can at least get on the wait list for a consult at the clinic before you have the referral.