@iceloops Why do you want to transition?

Honestly, I don't think we get to escape this. Over time, we will grow and change, and our ideas of our self will change with the experiences that we have. I don't think there is any easy fix. I don't think we get to change a part of ourselves and not have that come back to us at some point. Especially with permanent changes. If you have BDD, you will need to do more.

"People with BDD represent 2.4 percent of the population but 13 percent of cosmetic surgery patients. And they may not be the right patients for a procedure. “Because BDD is a body image disorder, cosmetic treatments aren’t very likely to fix the problem,” Weingarden says.

Patients often take a few different paths, she explains. They may find a new troubling feature to fixate on, sparking a cycle of fixation and surgery. They may feel more distressed, because the change failed to deliver the expected infusion of self-esteem. They may feel at fault, because they’ve now made a conscious choice in designing the face they so detest. Eighty-one percent of people with BDD who get cosmetic treatments are either “dissatisfied” or “very dissatisfied” with the outcome."

Anyway, it is worth thinking over before making any changes and realising that the surgery itself won't make you feel better. You have to do the work to process it all yourself. This realisation is where I am at.