Quote from: KayXo on March 15, 2016, 04:48:02 PM
And then the question: will it ever end? will next surgery finally make us feel good or will it take yet another one and another one to eventually realize it's all in our minds or really, that we should stop caring and live our lives.
We do need body positivity and self-acceptance just as much as cis women do, because at some point you do need to stop seeing yourself as somehow lesser just because you don't live up to an ideal, but the thing to remember is, at the end of the day, we're not cis women. We're not taking something that is fundamentally functional and getting it improved upon for purely personal-satisfaction reasons, often we're doing it because we're correcting a defect of sexual development which caused us to not develop something that we should have developed in the first place, or to correct the development of something that shouldn't have developed. For us, our reasons for surgery are much more commonly the equivalent of reconstructive purposes rather than cosmetic, and therefore our satisfaction rates with them are WAY higher than cis women's satisfaction rates with the same surgeries.
Take for example breast augmentation... according to studies, in the average transgender woman BA improves her satisfaction with her breasts by 59%, sexual well-being by 34%, and psychosocial well-being by 48%. In cis women, these numbers are only increased by 43%, 27%, and 33% respectively.
Studies on on voice feminization surgery are limited, but the one that did such a study showed an improvement in the self-reported dysphoria index in patients from a pre-op average of 0.2 to a post-op average of 1. (Not sure what the scale was, because I don't have access to the full article.)
Yes, there is a point where you need to accept how you are in order to be happy, and a lot of people do expect too much out of surgery, expecting it to somehow solve all of their social or loneliness issues, or take them from unpassable to passable, and obviously those aren't going to happen and one needs to have realistic expectations. But if there's something that, even after years, is still a persistent bother, almost every single study on surgery shows a decrease in neuroticism and anxiety afterward. (Except in patients with Body Dysmorphic Disorder, who consistently show no benefits from surgery.)
It can be a big deal. Just make sure that it really is because of a physical defect, a logical measurable difference that can be corrected in a logical measurable way, and not a defect in self-esteem or self-image or idealization/envy of other people. (Which is where most regrets and negative outcomes come from.)