Thanks for the link to this Kendra. You look AMAZING in your profile picture too. Inspiring.
Transgender, I've felt for a long time is something modern monotheistic religions struggle badly with hence the issues many of us face, as society particually in the USA is heavily influenced by christianity and to a lesser extent islam.
Further, its as being female has for so much of our history been seen as weak and less than, that the idea that people like us feel like we do, is seen as WHY? Societies which are less patriachial may not have this issue.
Freedom of expression, being different, these are great things, however non democratic regimes dislike them, and we in the west are not as far out of Autocratic regimes as is often thought ....
I feel at times when We see a 'primitive' culture, its best to see what can be learnt and where we might be primitive in our thinking.
About visual / physical changes - If one can function and be accepted socially as a Woman, they may not feel the need for so much surgery or 'mones
YMMV though as Personally, I was very image focused in a male role, and since coming to terms with Trans female identity I am no different. I had nice abs and arms and stubble before , now I have a strong round butt, smooth skin, and a more toned look. I would long term like some buttock augmentation to get a bigger look, a touch of lipo, and I am already am scheduled for facial work later this year.
I acknowledge for some of us, the dsyphoria about genitals is extreme......so they would need to change this above all as it is the most defining feature when one is naked of the outward expression of gender and effects the sexual role one performs,.
lastly, knowledge of something effects desire as does resources, ie if you were unaware and then unable to afford surgery you may not be so concerned . However if you know what can be done and are well off......its hard if there are compromises that need to ne made for life to function as a whole,........no Man or Woman is a island......