"I've legally changed my name and gone through countless physical and social changes over the past two years," Klamka writes on his GoFundMe page. "Though the next step I will be taking is the biggest and most important to me." It's not just a chest reconstructive surgery he has to pay for, but the doctors' visits, pain medications, continued hormones, and lost wages from taking time off to recover. His job as a veterinary assistant offers insurance, but it won't cover his needs.