Being a transvestite, cross dresser, or drag queen is the identity where a man dresses in drag or female clothing, but is "proud" of his masculine features and has no desire to change them. A transsexual or transgender is a person who wants to entirely blend in with a female culture WITHOUT being suspected or insulted. That is simply the definition of it. There are facial features that are proven to evoke a masculine or female response in a viewer (these studies have been conducted at world renowned universities), and most transgenders want their masculine features to, if they have them, be improved. Sexual looks also do play a part; even if a trans has relatively female features, if the trans is still considered very odd or ugly looking in a female role or to normal society (obese, misaligned features, skin problems, ect ect), they often want improvements to these sometimes negative features or health problems as well. Trans are people who want to blend positively into a society like a normal attractive girl would, and this includes dating and social roles. A drag queen is someone who wants to "be proud" of masculine features, to flaunt those masculine features while dressing like a woman. A drag queen is the "shock value" version of a transgender. Most of us here do not want to be drag queens.
And studies conducted by leading universities world-wide prove that appearance is important to a young adult, no matter if they are straight, bi, gay, trans, boy, or girl. This importance diminishes with advanced age. If you are a young trans, you naturally care more about looking sexy because you are still on the dating scene with sexual hormones running through your body. This diminishes as one enters into later years (40+), and studies prove that once a person of any identity reaches an older age where sexuality is less importance, they often "forget" how important that drive is to a young teen or young adult. My experience with adolescent psychology has caused me to come to the conclusion that young adults DO need to look sexy in their chosen identity to build a sense of confidence that will help them survive happily the modern world of technology, fashion, and media. This importance amplifies if a person has a career in media fields, studies show. By no means should a person block themselves from seeking surgical or aesthetic improvements just "for the heck of it", and anyone who is opposed to improvements of any sort is doing so for religiously-inspired reasons. There's just no scientific evidence out there that confidence or "swagger" makes a difference in people of any identity or orientation. Current studies show that looks play the bigger part, as these studies have been done using very complex controls that were not obtainable even just decades ago.
Quite frankly, the case is that if anyone begins to want surgery, they probably are doing so because they've received negative comments already. If someone has not thought of FFS, then chances are, they already pass very well or have somehow found a way to make themselves confident in other ways. There is no 'set cure' for everyone and confidence has the right to come from all sorts of things. Because of sociology and family upbringing, people have the right to base their confidence in a physical image just as much as they have the right to base it on what genitals they have or what career, car, hobbies, or house they have. We're all different and the world would be pretty stale if we weren't.
It's really the same thing as getting the appropriate haircut or finding the appropriate clothes. Surgery is not always meant to give one a "sexy, model" look; surgery is oftentimes done to simply balance out the face or body, and I know the purpose of plastic surgery because I've been a plastic surgery consultant for over 4 years and have underwent procedures myself. I'm usually not the person who brags about experience (I hate when therapists do the same thing) but at the same time, I do not tell people what is required of them or what is right or wrong for them. I simply give people the descriptions of options like a true therapist does, including what I feel to be modern studies that support the freedom of choice, as opposed to the opposition.