Wow, after reading through most of the comments in this thread I'm amazed to see people flaming other people for their opinion. I know I'm new to this forum and I have not read Melissa's story yet, but flaming someone for an opinion seems to be going to far.
If a person chooses to do a certain job - read this correctly, chooses - then that's a choice they make. But, the "sex industry" has a strange reputation either way you look at it. From what I saw so far on this forum though, and I came here for a reason, there's a bigger want for tgirls then there are tgirls around. So I think we should be glad there are girls out there who stomach the sometimes "far fetched" fantasies some men have out there.
On the other hand, if somebody is against doing escort work, the moral blah aside, it's their opinion. They may have the wrong arguments but be realistic, if you react strongly, it'll only provoke more blah and will not change their minds. (not withstanding that you're making the correct point of course

)
To answer the original question: I have not been in the situation myself so I cannot say anything conclusively really. I trust though I'm open minded enough to accept it as a part of my partners life. Just as I hope that she will accept that I work 12 hours a day

So the answer would be the option "it shouldn't"
Well, before this turns into a book

I hope that the surgery went as you hoped Melissa and you're recovering from it well.