The main thing to know about male sex affirmation surgery is, it's not just a surgery. It is a series of surgeries.
There are a number of different options for surgery, as well as a growing number of techniques being performed around the world. You should carefully research and investigate all your options.
Evidence shows there is a high level of satisfaction for the outcome of sex affirmation surgery.1 There are a number of factors that contribute to your long term satisfaction. These include general health, success of the surgical procedures and family and social support.
1. Green and Fleming (1990) report a satisfaction of 97% for female-to-male patients.