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99% of trans people can live with a post-transition body being different from a natal body of the same sex. I found it easier and easier to do so- in pre- transition and early transition I was far more upset with the fact that I'd never have the body of a natal man.
But there's this tiny sliver of people for whom the distance between themselves and natal males or females looms large. They (in my opinion neurotically) over-focus on that, becoming less happy with the changes they've gone through over time.
This focus on small imperfections is actually much more like body-dysmorphia than gender dysphoria. Perhaps therapy could help them accept what transition can and can't do?
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