Recently I participated in a Veterans Administration survey. It primarily revolved my treatment at VA facilities as well as background on my life as a transgender woman. Included within the survey were heavy questions on had I attempted any surgical gender intervention, as well as treatment I had personally received as various VA facilities. As I have said many times, following a very slow and unsure start my treatment has evolved to a positive experience.
Long ago, I decided at my age, I would decline any and all gender surgeries including facial feminization, breast augmentation all the way to genital realignment surgery. In other words, I decided the numerous and welcome changes I experienced through hormone replacement therapy would be sufficient. My thought pattern was and is my gender is a highly personal matter and was decided by what was between my ears and not my legs. It didn’t hurt either the only surgery I had ever undergone was to have my tonsils removed. Who was I to attempt to question success. My rule of thumb was to not undergo any or all unneeded pain. Such as elective gender surgeries.
Overtime I built up a bias towards those who viewed me as less transgender than they were since I have not gone under the surgical knife. While I still think the “transer than thou” ideas of certain post GRS persons is completely unfounded, I understand why some of the…