Many people regard plastic surgery as frivolous, an indulgence. Not transwomen. For us, plastic surgery can spell the difference between life and death at the hands of a perfect stranger who doesn’t think we look the way he thinks we should. Call it life insurance.

On a lighter note, it can be a reprieve from the life sentence we would otherwise have to suffer after male puberty morphed us in agonizingly slow-motion into something we always knew we never wanted. If all goes right, a door may open a little wider, and hopefully a lot, to the life you always knew was right for you.

Along the way, what you thought you wanted—what you thought you needed—that will probably change. How can it not? You will change with each procedure and you simply cannot know for sure beforehand how it will play out. Hopefully you’ll have done your homework, but maybe not. We all make mistakes; try not to obsess.

Perhaps because I have the FFS and SRS credentials, Dr. Sinclair has invited me to share with you some of what I’ve learned along the way.

Number 1: Don’t let anyone drop the “S” word on you (i.e., tell you what you ‘should’ or ‘should not’ do).

I promise never to use the “S” word (“should”) here. I will tell you what I’ve learned from my experiences. Despite the occasional complication, it’s been the ultimate E-ticket ride. I’ll try to direct you to resources that have helped me and some caveats to help you avoid some of the traps that await the unwary. Ultimately, it’s going to be your decision alone. Investigate at-length and learn as much as you can. Caveat patient, and let the games begin!

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