My dysphoria has changed as I've progressed through my medical transition. Speaking with other guys in bottom surgery support groups, I've found that this is incredibly common.
Pre-everything I had social anxiety, didn't want to speak in public, chose my clothing very strategically, binded to the point that it was unhealthy, etc. I wasn't to the point that self mutilation had any appeal, but I was heavily dissociative. T made most of that more bearable very quickly, easily within the first three months.
But it made me much more conscious of my chest, since that's something that T couldn't change. I had been binding for close to a decade when I started T, and I had done a lot of damage. I knew I needed to get top surgery sooner rather than later, and not just because of the dysphoria. So I did - instant fix. I felt 1000x better. For about a month.
It was a weird creeping feeling. It started as just the urge to pack, and then the urge to pack constantly. I didn't feel comfortable without it. But I unfortunately haven't found an all-in-one product that works 100% of the time with my anatomy, so I was still forced to confront the reality that I did not in fact have male parts. I had not been originally considering any kind of bottom surgery beyond an eventual hysterectomy, but I started to realize that I wouldn't be completely happy without it.
I researched all last fall, settled on a surgeon, had my hysterectomy, and lost about 30lbs so far to prepare. I have my consult next week and will decide exactly which procedure I want, with the first stage hopefully being scheduled this June. It has been whirlwind fast at times, and not fast enough at others. My dysphoria has slightly improved as milestones are reached, and I imagine it will continue to improve until it's all done.
Obviously dysphoria is different for everyone and it manifests in different ways, but at least among other guys who are nearing the end of their medical journeys, what I hear extremely often is that dysphoria shifts as the individual causes are fixed.