He's tried to get the Canadian Healthcare System to pay for his surgery. But he's been deemed too mentally unsound for it.
He COULD pay for it himself, because there are a lot of places that will do whatever surgery you have the cash for if and sign the consent forms.
He even had a (Successful!) kickstarter for such a surgery, but decided to pocket/spend the money instead of paying for said surgery.
Instead, he just keeps applying for the surgery with the Canadian Healthcare System, in hopes that they'll eventually cave and approve him so he can make "This is totally what I used the Kickstarter money for! See!?" posts and appear legit.