I've been wandering this same road a lot myself lately.
As you say, at the end of the day, what does it matter? I don't know... with lots of time and energy spent on surgeries and hormones some very gifted doctors may be able to shape this flesh into what I think I should see, but inside I will still be me.
So, I think I will advocate for those with more courage than me who take that step to change.
Jessica, and the people who follow and become, you are my heroes.
Your subject like reminded me of this quote from Les Miserables.
At the end of the day you're another day older,
And that's all you can say for the life of the poor.
It's a struggle, it's a war,
And there's nothing that anyone's giving.
One more day, standing about, what is it for?
One day less to be living.