This regulator circuit stabilize the output voltage at 200V directly (without a transformer). Although the output voltage is high, this circuit only suffer a tension of the voltage drop (Vinput-Voutput), which is suffered mainly by the transistors. The op-amp suffers even less tension, since it regulate the applied voltage at their pins around the level of transistor’s bias voltage level.

HV Regulator circuit schematic

[Circuit’s schematic diagram source: National Semiconductor Application Note]