Ricks friend is already a she wether she has had GRS or not, she is already a woman wether her drivers license has an F on it or not. Sure these documents are necessary for navigating certain parts of society but shouldn't be a prerequisite for going pee. Also many states don't require GRS to change your vital documents, these procedures are expensive as most insurance won't pay for them yet, carry risks, and are not necessary for trans people without genital dysphoria. There is no surgical requirement to change your state of Alaska Drivers License gender marker or your Social Security and US Passport gender marker. In the next decade you will find that states have moved away from a surgical requirement for Birth Certificates too.