I'm realizing that for me personally this has turned out to be such a damn hard question. About 5 months ago my therapist started questioning me about moving forward with GCS, so I checked into planning it and what it would take to get it done. I called the surgeon's office and threw out a bunch of questions and called the electrol person for the genital area and did the questions. I got to the point were I just needed to start making appointments and could get the operation done within a years time. I got to the point of pushing the go button then I thought the pros and cons. The cons are basically my age and disability, I'm 63 years old but in good health mentally and physically except for having Rheumatoid arthritis which makes it difficult on my legs mostly the knees, like wearing 6" heels a bad idea. The basic con would be the 4 months post healing. I have no one to help for that period of healing. The only other concern is my age, not for reasons of health because I took care of myself the past 30 years with eating and exercise ,but with the time left on this planet. Realistically I have anywhere from 1 to possibly 40 years left , but more likely with luck 30 years or less. I'm in a quandary as to whether its worth it with that kind of time left. I've realized how important the operation would be for me. Just typing about it makes me cry. In the past 5 months knowing I could do it as far as financially its brought on a whole new thought process. A couple of months ago after having checked everything out I talked with my therapist and told her I decided against it mostly for the lack of time left and really what sense would it make. The last few weeks I've been reading the post op posts and it started to occur to me how much I've wanted it my entire life. When I was discussing this a few months ago with my therapist who I've been seeing for 2,5 years I was taken a back when she said that I needed it. The thing is now I realize she is right. The problem right now is that I need it , but I'm confused. I have time to still think about it. The HRT has done such a beautiful job that I can live but honestly the genital dysphoria is going to a place its never gone before. I'm going to talk a lot more about this with my therapist, I was just wondering if anyone wanted to put their 2 cents in or anything less than a dollar to help an old lady out (figuratively rather than actual coinage ) . Wherever this path takes me I'll be happy, I'm living my dream right now.