1) Five years ago, GRS without vaginoplasty was about half the price of full GRS. That would be $10,000 compared to $25,000. and certainly then, next to no health "care" plans covered any of this.
2) In most states, one could change gender markers with the simpler proceedure. I knew of one person who wanted this so she could reside with her children in a women only housing facility. There is a lot more to this, but being at that time so much less expensive , it was an option in preventing the state from taking her children.
3) Holly Boswell, a former writer for Tapestry had a good piece on the health reasons of transitioning without changing one's body.
4) In the Seventies, even being post-op with a vagina could not get one into most feminist organizations.
5) about five years ago, some doctors would not perform GRS on people over 48.
6) I claim I am post-op , but maybe not. Maybe I have had only an orchie, or simpler GRS, or maybe nothing. Does it matter? I'm still a crazy Democrat and politics is in the heart and between the ears. Would this knowledge change my online persona?
7) Western culture associates women with a full head of hair. What does wearing a wig mean if you are post-op? Confusing, isn't it?