This thread is a bit dated but highly relevant to so many. It seems regrettable that anyone here feels they should have to justify or defend their sense of self and gender identity on a "Transgender" support site.
I spent over 3 decades providing anesthesia in the surgical suites of major hospitals and assure you that we do not have accurate knowledge of the frequency and severity of surgical complications. In the US we have morbidity and mortality presentations but comparative data is vey challenging even for researchers to find. The incidence of nosocomial infections is incredibly high and guess what, we don't have the best medical care in the world. Take a category like infant mortality and little Cuba has better outcomes than our children experience here. For profit providers are not interested in public disclosure. Wealth and opportunity are not the only variables in making ethical choices for living a life that is true to ourselves.
Transitioning is a journey filled with very personal decisions and a surgical scalpel is not realy a magic wand. Individuals, not the peanut gallery must carry the weight, decide the risk and live with the choices. The decisions a teenager or 20 yo might make relative to transitioning with a future of dating are far different than the choices a 50-60 yo with a SO might make? Empathy and compassion please!
Again, what's with the straight jackets of a binary gender world where anatomy is destiny? Were there no transsexual people before the surgical breakthroughs of the early 1950s?
Rock on gender rebels!