Update: 8 weeks until my GRS, and I've been doing a lot of reflection on my decision. I wanted to share these thoughts so that others might have confidence that doubt or questioning is part of a healthy dialog we have with ourselves, to find the answer that is best for us.
There is unsurprisingly a tendency to focus on the physical at these times, but the thoughts and emotions that both lead up to such a moment and are born from it, are perhaps of greater significance in our lives.
There are certainly moments I have my doubts about my choice to both have any GRS, and also the cosmetic vulvaplasty that I have selected; but having revisited my journey up to this point, and my rationale, I am still satisfied it is the right choice.
Regardless of the outcome, I will surely have a different relationship with my body after the operation. I don't and never had much bottom dysphoria, and while I neither like or relate to my penis in the way most cis-gender men seem to, I don't despise it either. My choice, personal as it is for anyone, is one as much driven by practical consideration as it is by any emotional need.
Follow your own road, and you'll never get lost. X