Since I am somewhat adept at tossing hand grenades, I'll put the question a slightly different way.
I see all these 20 somethings going on about about transitioning and how great and wonderfull their totally miserable life that it has been up untill now will be so much happier and better. I think. Are they F'n crazy? Do these people maybe have an independent life, as in a job, their own place, have to buy food, do laundry etc. Mostly not, still in school, still living at home. Yet they see their life as over unless.... Teenage angst taken into the new "Twenty five is the new fifteen" era we life in. How the heck can you make such a life changing decision and be so sure?
This is from a 58 y/o pre-jurasiac dinosaur who twice experimented with transition in my early and mid twenties, and started experimenting again 5 years ago and still going. Perhaps it is from being a major target as a kid but to me success at passing is not being laughed at, pointed at, rocks thrown at, or far worse. My big Sanity Test I tell everyone who is unsure, is just spend some quality time in grocery store checkout lines Friday nights and Saturdays to see what REAL women look like. All shapes, all sizes, some petite, some line backers, some with plenty of facial hair, or more.
I am 6 ft tall, big boned, giant hands, even bigger feet, deep voice, and even almost bald. Not a whole lot of that changed physically between 25 and 55 beside a little less hair. Emotionally, spiritually, life lesson wise PLENTY. Though I still present male, nothing makes me feel more genuine then presenting female. I achieved my life long dream of being seen as and accepted as a woman. Most importantly I achieved the dream to become a for real person.
Life isn't, nor will it ever be perfect. Likely not even close to perfect. Life is hardship, life is adversity. Life is work, hard work. Life is as real as it gets. If I knew what I do know would I take that first ever Premarin again? NO. OK maybe no. I wish I was that wise back then. I don't wish I transitioned then. Five or six sure. Before I had a history. Before I was fully culturalized. Before all sorts of expectations were ingrained into my psyche. But I was only a really really big fat stuttering mouth breathing kid back then that felt I should have been born a girl.