The majority of gender diverse people never transition, some because they don't have the opportunity, some due to fear of losing loved ones, and some who never learn or admit to themselves that they are diverse. Of the minority who actually transition maybe more than half don't have surgery. In most countries, it is just not available or affordable.
Few of us recognise we are trans early in life, so we spend decades evolving. We often mistakenly think we are faulty, conflate the euphoria of affirmation as sexual, some get the opportunity to dress affirmingly, fewer get the opportunity to actually medically transition, and the very lucky ones can 'pass'. As our journeys progress through this evolution, we may adopt many designations, but really, most are transitory and don't actually describe us.
So few achieve self realisation as our self image, so the rest of us are left with winding up somewhere along that evolutionary path, mostly not fitting any designation. These 'boxes' we try to fit into cause us more pain than gain, so I say, Why Bother? We are perfectly ourselves, no matter what anybody else says. Those designations go on and out of fashion, meaning completely different things from one decade to another. They are not us, ever.
Chrissy, as Sephirah said, 'you are who you are', and much loved on this forum! No matter what, that won't change!
Hugs,
Allie