I don't EVER set out to offend or upset people.
Damn right, that's my job, and I'm brutal on any and all competition. Pretty much the same way Congress hates people lying to them, because they think that's their job to lie to people. And FTR, I rarely set out to offend/hurt/upset people, it's just that I don't care if I do.
As for FFS, I think that out of all the HRT/Therapy, both clinical as well as retail/SRS and FFS, it's the most expensive treatment with the smallest real changes, and the highest risk of bad outcomes. California, and the entire LA/Hollywood deal in particular, has reached a very high level of results, but the bad outcomes, like say Kenny Rodgers are really, really bad and once that's done it really can't be undone, and FFS though more maxifacial (sp?) then dermal, is a kind of plastic work. It can 'correct' 'obvious flaws' like my ex, who was Jewish and had a nose on her like Jimmy Durante and had it 'corrected' in high school. But you are messing around with bone, and bone can not be replaced, and does not grow back, hence any problems become real problems. And so much depends on the basic structure and shape to being with. As noted, the real changes are minor to most outsiders looking at it, but huge for the person in the mirror.