It is a dichotomy, for FtM, T masculinises quickly and the changes are profound and stunning, however surgery is more difficult, and sadly less successful for bottom surgery. For MtF HRT can give less feminine facial and vocal changes but our bottom surgery is generally more satisfactory.
One day this will change and we will all be able to live the lives we deserve.
And as a Professor of Immunology, I have to say - study Biology 😘