I went with a surgeon that came highly recommended (Dr. Bluebond-Langner, at NYU), and I was happy with the results (aside from the long period of pain afterwards...)
But I wasn't all that picky. I mostly wanted to look like some sort of woman, and women come in all shapes and sizes.
I decided not to do FFS because I spent a year or so looking at the cis women I passed, and decided my appearance was within that range; I'm hardly beautiful or sexy, but neither are a lot of cis women my age (60's at the time.) I also saw a presentation showing what surgeons do during FFS, and my gut reaction was, "nobody's gonna do that to my face!!!"
The same for the vulvaplasty (does anyone but a gynecologist actually look at your vagina?) Once the swelling went down and the stitches were gone, it looked like it would fit in in any of the online photo galleries of vulvas. I don't feel the need to qualify as a centerfold model or a porn star.