Well, ask any gender doc and they will disagree; they will say gender is in your brain, not your genitals. And no offense meant to the post-ops here, but what they have is not the sort of vagina that a maternity doc sees.
Let me be clear: I feel I am a woman; I'd be much happier without my male parts; and I want to have SRS if I can swing it. Because it is my desire and my goal, and because I know what inner turmoil must be overcome, I have immense respect for women who have beat the odds and made it to the next plateau.
I believe you when you say pre-ops can't possibly know what it's like to be post-op; I mean, it's obvious on the face of it. But if you shanghaied a happy male and gave him a vaginoplasty, he'd still be male, and very pissed-off. It's because you are already female that obtaining a beautiful vagina feels so profoundly fulfilling.
Lallie
PS: Stephenie, you powerfully describe living as a woman with a vagina as far less stressful, so I wonder why after SRS is when "the hard work" starts. It seems more like the reward than the task. Don't think I haven't imagined scenes of medical humiliation, of the dread of losing my physical autonomy; but that's a nightmare a lot of us must face with a certain degree of stoicism, if we can't get SRS.