My position is such that I am full-time, and have been on hormones for a lil over 11 months so far. I pass fairly well, though I tend to attribute this more to my frame, height, and voice rather than my face. Apparently, my face is cute, though - it's just a matter of not seeing it.
So, I had been getting more comfortable with myself as time moved forward... until recently, where I feel like my feelings have plateaued. I can accept that I'm passable and even cute or pretty, now, which is a much better spot than before... but my feelings about facial surgery haven't changed much. The urgency is lower, because it seems it's not a matter of passing, so I'd be getting the surgery out of vanity, for one, but also for my peace of mind.
Same goes for the boob job, although breasts seem to be more urgent. By development has been very sub-par, practically nonexistant. The upside is I'll probably be covered for a BA by medical... it'd be nice if the wait list weren't so long, however. This again would be to ease dysphoric feelings, but in certain situations, it would definitely boost my passability by a factor of > 9000. The rest of the situations would feel only a moderate help.
In the end, though, the bottom line is that I want surgery so I can ease my dysphoria. Sometimes I feel like I'm the only one who thinks I look bad.