@mira@kumis.industries As someone who's been around the community for decades, but only recently came to the conclusion she had to transition, I've wrestled with the notion of what 'being trans' means to me, and to the broader world in general. Within my own mind I have considered what kind of surgical interventions I might desire to help me feel more at ease with my body and self as an older trans woman. I have a number of friends who have had procedures (some with mixed successes) over the years. There was a time, in my lifetime, where surgery was not only a default selection, but an expectation of trans women. And this notion of a true transsexual lives deep in my historical experience. In considering my own 'journey' I have become far more of a radical inclusionist as I have made friends with younger trans people. I view this as a positive, and one which helped me, personally, accept my own status. So the discussions around surgeries is both very personal, and also communal to me. How we care for ourselves and those in community with us feels particularly prominent to me -- as we find ourselves viciously attacked on all sides. So while we fight for both our rights and our care, we're seeing fewer doctors and surgeons willing to treat us. Thus, I, both personally and communally, wonder what these limitations may mean for my own transition as well as other's in the community who feel the desire for surgical procedures. And with this, I remain fully aware that 1) not all trans people desire or want surgery and that 2) surgery is a luxury afforded to those of us with insurance or means. All of this is a long ramble, to try to answer some of your question... As you can see, the topic of transsexualism (as a surgical differentiator) raises a lot of feelings and thoughts in my mind.