Hmmm... some may see this as controversial, but what the heck

Personally I prefer cosmetic surgery (CS). I believe that the word sex is too broad a term to use as it can be associated with a persons gender, the difference between male and female, and/or the act of (having sex), and in some parts of society the word sex is seen as something bad, never talked about at the dinner table. Gender on the other hand is too narrow a term as it simply means either being of the male or female type.
Further to this I don't believe that you can change either you gender or your sex when dealing in this situation. Cosmetic surgery on the other hand, is used to alter, improve, enhance "physical" body parts. So for me I had cosmetic surgery to alter certain body parts so that they were congruent with, and reflected my true gender.
I think the use of the terms GRS, SRS, or any other "Reassignment" surgeries contributes to the confusion and none acceptance by those who are not transsexual. many feel that gender or sex can't be reassigned as a person is born male or female.
Steph