The need for FFS really comes down to an emotional choice. Much like other cosmetic surgeries it is seen as the answer to WHat will make me happier. Many of the worlds most beautiful women had or want some sort of cosmetic surgery. Do they need it? Obviously no. Unless of course they felt the needed it.
At times I wonder what life as an ascended master might be like. None of this trans stuff would matter then. What I looked like, or present as, would not matter. I would always be piece with myself and the world around me. No matter what. I got a LONG way to go with my personal growth to get even close to that.
If presented with the opportunity to, sure there are plenty of things about me that need tweaking and others I always never liked. First up is an abdominoplasty to supplement loosing almost 1/2 my weight. Perhaps a BA, perhaps a little face work for something that always bothered me. I am at a point where I am sort of happy being in my own skin. Yet I do harbor insecurities. I've had bad experiences as a kid that still haunt me today about being and looking different. If a little facial surgery will help boost my self-confidence, then why not go for it? Do I need it? No. Do I want it? Kinda yes I guess, today, right now. Tomorrow you'll probably get a different answer