That's interesting, and I totally believe it. Knee replacement recovery is much longer than the 2-3 weeks they claim for mtf srs. And some people end up with further problems that require more surgery to fix. And artificial knee joints only last a decade max and need to be replaced. But it's also very different because no one cares about their knee except that it works without pain. I wonder the amount of complications that a srs patient would ensure and still be happy because of the psychological improvements. And of course those psychological improvements are very real and matter. I do have a hard time understanding that and maybe that's just because I'm older and my genitalia really doesn't matter to me as much as it once did. Like there's plenty else about myself that I'd like to change, like my weight, painful joins, weak muscles, saggy skin, age spots, etc, before I'd worry about the shape of my genitalia. But I understand that everyone has different perspectives and I'm ok with that.

Knees are pretty important, really. But yes, I get your point. I'm not going to stop her from making her own choice, but I am going to point out if I think she's misinformed (or more mis-believing) the risks, and actual outcomes. I also really worry that she will pin her hopes that having bottom surgery will cure her self esteem issues and if it doesn't, she'll be mentally worse off. I'd love it if I could really trust the medical system for dealing with all this well, but I don't.