It was very interesting to read this thread. Thanks to everyone!
There seems to be a general commitment to the WPATH course. However, not only do I not want to go out in public as a woman, I don't want HRT. That is not because I wouldn't enjoy the benefits of estrogen, but that I am too old (mid-60s) to start that now. In fact, I am currently injecting testosterone twice a month and it helps to keep me healthy, stable and happy. I assume that I will be injecting even more testosterone if I have SRS, and that would be okay. The point is that after many years I have achieved acceptance of and comfort with my gender, even though it does not match my body.
Why would I want SRS? For the same reason that anyone does, so my body more matches my mind. It is disheartening to see that unsightly bulge every time I pull on undies or pants, and that makes it harder to feel like the woman I know I am. Furthermore, I have never felt particularly fond of my male genitalia, and at this stage of my life they are useless for sex and not so good for peeing, either. Begone and good riddance, IMO.
I'm sure that WPATH helps a lot of people, especially young people. A requirement to consult a psychologist is good. But to require people to adopt a lifestyle before SRS that they don't want to live after SRS is crazy. And once a psychologist says that a person is not in emotional crisis and is capable of making a reasoned decision, further interference by the medical profession is a violation of an individual's sovereignty over their own body and nothing less than immoral.
BTW, according to "True Selves -- Understanding Transsexualism" by Mildred L. Brown and Chloe Ann Rounsley, less than 1.5% of MtF SRS patients regret having had surgery.