I see a lot of the local gals going for FFS and BA early on.
Everyone is different it what will be done.
In my younger days, 1975-77, only thing I had heard of was nose and Adams Apple. Never had much problem with my nose, looks like my mothers and her sister. I have NO discernible Adams Apple, Have to push in to even find where it is.
I suppose there were surgeons that did some of that, but not generally heard of.
As far as the whole passing thing, always felt that a lot of that was ones own self confidence.
In the Trans community, hard to get honest opinions. But some that have seen my photos from 1976-78, say I looked great or cute or gorgeous or other stupid comments.