Hello Michelledeanna,
Are you taking about an orchiectomy? I agree it would make sense in your case, given your medical history.
But I must ask, how did you get a letter from your therapist recommending you for GCS if you are not certain it's what you want? That's what gender therapy is for - to make sure in your mind that this is absolutely, positively what you need for your mental health and physical well-being. It sounds like GCS is something on your to-do list rather than a primal urge to change your body.
I have to echo the thoughts of the previous poster. If you have any doubts at all, you shouldn't do it. GCS is major surgery. Recovery is not easy. You will spend the rest of your life taking care of that vagina, so you damn well better want it.
Transition is different things for different people. If you have been living full-time as a female for a year and you don't have a strong sense of genital dysphoria, maybe GCS is not necessary for you to feel good about yourself. How do you feel about your body now? What about dating? Are you into guys? Is sex important to you? For me, RLE was awful because i was so cognizant of that bulge in my panties. I hated it. I could not wait for the surgery.
All I can tell you is I never, ever had any doubt whatsoever that GCS was what I wanted. That's the space you should be in before you do it, in my opinion.
With kindness,
Terri