SRS is one of those topics that is very hard to discuss. Precisely because the question is framed in such a way that it requires an answer to "Why". "Why do you need to change your body?" "Why can't you be happy with what you have?" "Why is is bad to be a woman with a penis?"
The reason is so deeply personal, and language so fantastically poor as to render these questions nearly unanswerable. You see, to answer the questions the woman may need to express things that aren't exactly true, but close enough to get the point across. For example:
"I always had a feeling of disconnect to my body" - In my experience, this is true to an extent, but not totally true as it erases the points where I don't feel disconnected. It also over-simplifies most trans women's relationships with their bodies and particularly our genitalia into a cookie-cutter "woman trapped in a man's body" that isn't a true feeling for many of us.
There are also the many many simple practical reasons to have SRS. Want to go swimming or run a marathon? It's much easier if you don't have to worry about hiding a penis. Want to have your government records all match up with how people see you? Most places require SRS to change records. Want to have a chance at meeting a guy, exchanging numbers, having a date, and slowly organically developing a relationship? Hard to do when you are either meeting guys who view your life as what happens around their personal favorite fetish or have to have a risky conversation with a guy who didn't know.
The reasons for SRS are as many as the women who have it. The reasons not to have SRS are just as valid and just as varied. SRS can be as dangerous as any major surgical procedure. There are, however, many doctors who have spent many years doing this operation, so the dangers are less than they were even 10 years ago and the results are much better.
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