For most transgender individuals, surgery is essential. It is important to recognise that it is not for all. But it is, however, very expensive and very, very few can afford private treatment. Funding is limited on the NHS and funding priorities are set locally by the healthcare trusts. It is important that you are prepared for the fact that waiting lists can be long.
Trans people and families need to be aware of all the options. For MtF (Transwomen) the surgery options are as follows:
Removal of testicles
Removal of penis
Creation of vagina
Creation of clitoris
Reduction of Adam’s apple
Especially reshaping the nose and chin
For transwomen (MtF) hormone treatment (estrogens and anti-androgens) will probably reduce sex drive (libido).