Two major changes occurred in the 2010s for transgender people in Ontario. The first was that the Clarke, now part of the Centre for Addiction and Mental Health (CAMH), was no longer the only way to get provincial funding for surgery. As the waitlist at CAMH was getting out of hand, the province allowed other clinics to refer for transition related surgeries.
The second major change was removing the requirement of surgery for a transgender person to be allowed to change their legal gender. These changes had the monumental effect of opening up access for surgery and reducing the restrictions of an arduous waiting period on transgender lives.