> self worth or identity

Wow, that's rich. Is it really beyond your comprehension that someone might be deeply hurt by losing the capability to engage in sexual relations with their significant other? I know you say you 'can imagine other people having enough of a problem' but I'm not sure you really do when you word it that way. I agree that it's more expensive and more risky than gender reassignment but I don't understand why someone trying to return to a fully functioning body is considered "elective".