Full-time dramatically reduces GD, we know that.
I do wonder how much it depends on the type of GD? you hear people saying about living authentic.
What is authentic? Being authentic to yourself is different to being an authentic woman and that also depends on your definition of a woman.
If you are living authentic to yourself then the gauge is set by yourself, so just living as a woman, tick, job done is enough for some.
For others it's not enough, if you are not treated as a woman the GD can flare up because despite living as a woman you are not seen as one. This is where passing comes into play, FFS can change that significantly. Let's say FFS was successful, the world now sees you as a woman your GD is mitigated.
Then further to that are those who need to see themselves as a woman, you go in the shower look down and there are male parts, your authenticity is stripped away and the GD spikes again.
For those SRS is needed.
SRS is a must for me (health and money allowing), I maybe guilty of seeing the world in binary.
I've spent a lifetime hating living as a man, now I have made the changes to do something about it , I'm not going at it halfhearted. I will do whatever I can to be my definition of a woman, that's my authenticity.
What I do wonder, is those that are against FFS or SRS, if given a wish where they could have female looks and female parts in a painless instant. Would they still say no?
If I didn't feel so strongly about this, I would not go through surgery, so I do understand. That's why I wonder if the fear, pain and cost of surgery was removed would you do it?