"Understanding the surgery one is seeking requires accepting the fact that one is altering his body and that he will never have the body with which he should have been born. This means accepting the limitations that his body has before he gets on the operating table, and accepting that he will not come out of this scarless, without wounds, or without compromises. That is not to say that transmen can’t keep working and hoping for improvements - we can and we do. But we have to live in our bodies one way or another. We need to know how much imperfection we can handle. Identifying as a transsexual means we have signed up to consider these questions. not to do so is to invite disaster."