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by Shared404 1331 days ago
A) It's not just surgery, there's the difficulty in getting HRT.

B) For some trans people, the surgery is necessary from a quality of life perspective and a reduction of dysphoria.

C) It varies by country. In the US, the medical system is actively hostile to everyone (but especially trans people). In the UK, the requirements to just get HRT as a legal adult are insane.