Jebee : I beg to differ. That's your experience, but it's not everyone's. I haven't been misgendered since six months into HRT, and that includes doctors and people doing up-close exams (that didn't involve my pre-op genitals, obviously). Some people need FFS, and more people choose it, and that's absolutely fine, but it's not necessary for *everyone.*
Heck, I've had people ARGUE with me when I said I was trans! They thought I was joking...