; or (ii) the treatment of any infection, injury, disease, or disorder that has been caused by or exacerbated by the performance of a gender transition procedure, whether or not such procedure was performed in accordance with State or Federal law, or whether funding for such procedure was permissible under this chapter. (6) Gender transition surgery (A) In general The term gender transition surgery means any medical or surgical service that seeks to surgically alter or remove healthy physical or anatomical characteristics or features that are typical for an individual’s biological sex in order to instill or create physiological or anatomical characteristics that resemble a sex different from an individual’s birth sex, including, without limitation, genital gender reassignment surgery or non-genital gender reassignment surgery performed for the purpose of assisting an individual with a gender transition. (B) Exception Gender transition surgery does not include any procedure undertaken because the individual suffers from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the individual in imminent danger of death or impairment of major bodily function unless surgery is performed. (7) Genital gender transition surgery The term genital gender transition surgery includes surgical procedures such as penectomy, orchiectomy, vaginoplasty, clitoroplasty, or vulvoplasty for biologically male patients, or hysterectomy/ovariectomy, reconstruction of the fixed part of the urethra with or without a metoidioplasty or a phalloplasty, vaginectomy, scrotoplasty, or implantation of erection or testicular prostheses for biologically female patients when performed for the purpose of assisting an individual with a gender transition. (8) Non-genital gender transition surgery The term non-genital gender transition surgery means surgical procedures including augmentation mammoplasty, facial feminization surgery, liposuction, lipofilling, voice surgery, thyroid cartilage reduction,