It's very important to me.
When I was younger, I didn't mind my genitals. Wasn't really something I ever thought about. When I got to my early-midish teens, I came to the conclusion that I'd been somewhat shafted with regards to my sex, including my genitals. Didn't think there was anything I could do, so I just accepted being unhappy.
As I went through my teens I tried to make the most of it, but in the end found myself generally trying to ignore/deny its existence and explored other avenues sexually. A few times I tried playing mind games with myself with a crude application of psychology and makeshift aids. The goal being to temporarily adjust the way I experience sensations down there. To sort of twist my perception so that it somehow felt closer to a vagina than a penis. Came close enough that for a few minutes on one occasion, I could actually believe it was a vagina.
Before starting transitioning I knew that this is the route I would probably be going down. Now, 8 months in to hrt (just E, no T blockers currently :/ ) it's perhaps the most distressing issue I have. As some aspects of my body have changed, now that I've been full time for a while, I feel like I've made some wonderful progress. But the total lack of change regarding my genitals and the fact that grs will probably be 4 years away minimum, due to money, it's wrecking me.
Like I was just starting to get some speed with building a life and then BAM! Ran smack bang into a spiked brick wall. I can only move forward so much without it. I'm certain that exploring relationships for the first time in my life would be unbearable in this state. Both because of my genitals and that I'm lesbian so my partners genitals would be a painful reminder of my own state. So I still feel that parts of my life that are very important to me are passing me by/still off limits to me. heck, these two points and the intersection between them has probably been making me *feel* worse than I did before. Definitely crying instead of sleeping more than before.
So yeah, the TLDR of it is that as I'm transitioning, it's becoming even more important. As some of my dysphoria about my body eases, my genital issue just shine brighter with less distracting me from them. And cause relationships can't happen like this.