I can't really answer the poll question as posed.
For question A:
I hate my genitals and wish they were gone. Now. Unequivocally. But it's not the most pressing concern in my life. I don't let it be in part because the money doesn't let it be pressing -- the serenity to accept the things that you can't change and all that. It doesn't control my life. Having the bits I have is better than being dead. But part of the reason it's better is that I know at some far-off time in the future, I can change that. But all of the options in the poll apply, often simultaneously.
For question B and C:
I decided to go to therapy primarily because I needed therapy. I don't think there's any point in going to therapy if you are going to lie; at least, you won't get any theraputic benefit. My therapist is down with that, and it hasn't caused any problems. SRS is far off, so I can't say how my honesty might affect that, but I really doubt it will be anything but positive, based on my relationship with her. She tends to trust me to make reasonable decisions, and to articulate my reasons for them. When I started HRT, all she wanted to know is how I came the decision to start when I did. She is strict in following the SoC, and part of that means that she understands that they are meant to be flexible, not burdensome. And she has enough experience to know that everybody has a somewhat different experience of their gender.
(edited to correct a typo)