Other than the the usual things about cosmetic surgery, like don't do silicone injections, pick a reputable doctor, and there is always some risk, I understand completely. I'm hoping to get very wide hips, an enormous bum, and large breasts after I start HRT (be realistic, Rachel, be realistic girl). Unfortunately, I think I'm going to need procedures to get those, but I am going to wait to see what HRT does first. Don't do anything you have a bad feeling about, have realistic expectations, and do it because you want it for yourself and not for other people.