Its usually cheaper when you have it done with GRS, I had a trach shave same time as my GRS, no long term effects, bit hoarse, like a sore throat, tiny scar, never notice it.
It maybe a myth that women don't have one, I hated having one and was glad to be rid of it, Im a woman who likes neck jewellery, a gold chain my Fiancé gave me, I feel more feminine without it, but thats just me.
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