Currently in a health clinic in Caimito, Cuba and the question of trans healthcare came up! It's shocking that it's easier to get a gender reassignment surgery in Cuba than in Germany or the US, but not surprising.
The knowledge and technology isn't here yet, which is why the amount of people who had such a surgery is very small, yet if you're interested it's as free as all other medicine.
They even took the words “man and woman” out of their constitution in 2019 and replaced them with “human”!