Suffering is relative. What is painful for one person may mean nothing to another.
My manager at work used to tell me not to get upset when people used the wrong pronouns. I asked her how she would feel if someone kept calling her wrong pronouns. Her answer was she wouldn't care or would find it funny. Really? She should try it sometime. Especially in front of new employees and clients. Then we'll see how degrading and embarrassing it is for her. I told her all of this too.
She doesn't understand it and probably never will. However, over time I think she's starting to see and acknowledge how painful & embarrassing it is for me. Plus, I'm far enough in transition it makes her and other employees look like idiots. Sadly, that's probably their main reason for trying to use correct pronouns. But, I won't give up and cave into their laziness. I'm adamant about people using male pronouns and will keep reminding people.
I know my best, true solution is getting a new job where I can be stealth. I've been working very hard on finding a new job for a long time. I also know in this economy it will take a long time. So, I keep on looking and do my best to put up with the environment at work (which is hell).
It's no lie that some people have it better than others. Some people have more options & resources than others. There are some of us in situations we have no control over and can do little about at the moment. The best we can all do is work with what we've got and plan and focus on what we need. It can take a long time but never give up on your goals.
You saving up for top surgery is a huge step. As for your job, try different things to keep you cooler and, if you want to, job search when you can. Job searching is very time consuming and can be difficult when you're already working- this I know. However, remember that job helps you save money for your goals and without it saving up would be impossible. Use them for the money like they use you.
Life is hard. It was never guaranteed to be fun. In fact, most of the time life overall isn't fun. Despite that we all need to work toward goals and work for a better, happier life. It's hard and takes time, but it will be worth it. I have faith it will.