Since when is the state required to meet everyone's desires? Regardless of the fact that the surgery is outdated, does it meet the MEDICAL needs of the patient? If so, then the state will meet it's responsibility, if it has any, by providing that surgery. If her outlandish religious superstitions forbid such a thing then SHE should be responsible for finding a different way. The state can provide what she needs. They are not obligated to provide what she wants.