Yes, and, especially in the US, having to try to manage your legal status state-to-state, as states have different laws. I worry about how limiting this is for my family member, restricting job opportunities, etc., if one state accepts detransitioning, but another doesn't (or, for example, restricts access to healthcare or even employment depending on how one "legally identifies").
There's so much that correlates with political boundaries. It's hard enough for those who have transitioned, and I wonder how difficult it will be for those who detransition. I would like more of these clinics to be established, and link up with administrative support as well. Perhaps they will, but I think this one in Texas is focused on the healthcare side of things.