So I guess as of like five years ago, the state Medicaid covers facial feminization surgery, with some reasonable hoops. (I think one needs two letters from doctors or mental health services, to contact insurance first for approval. Have to blame it on dysphoria.)

I’m not saying it’s a thing I want to do. But, fuck, the option is there. Certainly not a thing for the immediate future anyway. It’s just, wow, okay. Interesting.

It is the one surgery that’s not unthinkable to me personally—especially if we work in a tracheal shave (terrifying as that may sound in the abstract). I don’t like the idea of elective surgery, and the risks and process wig me out—but this is the hormonal damage that does bother me. And, well. We’ll see how I feel after a few years.

For the short term, HRT has done a bit for me already, even at not-quite twelve months in. I know things should continue to change for another 1-4 years, probably, so. We’ll just let that play out. Best to avoid anything really invasive if we can, right. Still, it’s good to know that I do in fact have real options for once in my life.

It’s all about repairing damage suffered through neglect. We’ll keep on going until we hit a plateau—then see what I still need when we get there.