On one level it's quite simple, ya gotta do what ya gotta do... hating your genitals is one part of this that it seems many but not all of us suffer..
I wonder if we will ever know if people that want to keep their male parts are experiencing transsexuality the same way as those that don't..there are lots of orchi's and non-srs transitioners out there.

One thing Sejd that i think you are glossing over is that it's NOT the medical and therapy community that is forcing things like srs on us...it is US DEMANDING IT from the medical community..transsexuals had to fight like commando's, and have been very creative over the years to get to this point... ..doctors have never been happy to help us, and the medical community is only very recently suggesting to insurance companies that they should help us

it's not fair to justify "your way" or "my way" as better of worse, but you can say that people need to be incredibly motivated to get major invasive surgeries, and to willingly risk families, jobs and even their health to align their physical bodies and their relationships with their gender...and it's that type of motivation and desire that drove the creation of what is now a network of doctors and therapists that can help us..