question: I am 26 years old and a lifelong sufferer of Gender Identity Disorder. I ve recently decided to undergo the process of transition, but I have major congenital heart defects and a pacemaker. It sits where my left breast would develop on Hormone Replacement Therapy. Do I need to have my pacemaker moved? Are they implanted in prepubescent females in the breast region without later adverse affects? If I do need to have it moved will the government cover this procedure as they have all my previous pacemaker replacements, or must I pay for this out of pocket?