I thought I didn't really care not so long ago, but I'm find that I do care and I care deeply. Maybe part of that is the idea that with grad school and student loans looming in my immediate future, I might be non-op instead of pre-op. I don't think I'll be able to afford both my education and SRS.
My partner and I got the hairy eyeball from some folks last weekend, and it really sucks. My partner is fairly androgynous, and I know I look like I'm trans. But I don't want to use breast forms again. I don't want to wear padded bras. I want to be taken seriously as the woman I am despite my outward appearance and my accursed voice.
The important thing, though, is that there are a great many people who see me as the woman I see myself and they treat me as such, in spite of knowing my story. So I cherish those thoughts, and it helps.