It is always brave to insist on undergoing transformations that feel necessary and right even when there are so many obstructions to doing so, including people and institutions who seek to pathologize or criminalize such important acts of self-definition. I know that for some feels less brave than necessary, but we all have to defend those necessities that allow us to live and breathe in the way that feels right to us. Surgical intervention can be precisely what a trans person needs – it is also not always what a trans person needs.