Cosmic, we are all different, and have different needs. I am 66 y.o. and asexual, so no plans to use anything down there, and up until a couple of years ago, I didn't plan to medically transition. People related to me as a woman, and I was happy! At 65, my dysphoria exploded and I had to start HRT to bring it under control. I have always hated my genitals, but they had atrophied and were mostly inside, so much so my foreskin shrank so much I haven't seen my glans for 15 years (I had Hypogonadism) and there was just loose skin. But my dysphoria has led me to having a labiaplasty to get rid of offending tissue moreso than having a vagina. I just hope that will be enough to reduce my dysphoria.
I also will never see myself as a 'complete' woman without the other reproductive organs, and so having vaginoplasty would not result in a feeling of 'completeness' as I have heard others desire.
hugs,
Allie