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For people with very severe gender dysphoria, this can be alienating. They can't just accept their way out of their continued symptoms. If that worked, none of us would transition in the first place! So It festers and eats at them, and turns them mean.
Medical transition is such a personal process. For me, testosterone and binding was they key. I want top surgery bc I have asthma and binding isn't great for that, but otherwise I tolerate binding fine and wouldn't necessarily need surgery.
For someone else, top surgery might be the key and HRT feels optional or even non-preferred. And, for someone else, HRT, top, and bottom surgery might be necessary- or even feel not quite good enough.
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