For a lot of trans people the goal is not to have all the surgeries but to get to a place where you are living as the gender you present as, and where you are happy with yourself. Historically, many transmen who have had phalloplasty have not been satisfied with the results.
In addition, WPATH emphasizes that the SOC are merely clinical guidelines , and are intended to be both flexible and modifiable to meet the circumstances of the patient and the preferences and judgement of the clinician. Many transsexual women in such states get married to male partners anyway, and have long done so, by using U. There are many who have chosen that path and become successful too.
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