The following considerations are
summarised from Katherine Rachlin's small study
in 1999 titled Factors
Which Influence Individuals Decisions When
Considering Female-To-Male Genital
Reconstructive Surgery of 23
individuals in New York City and San Francisco.
There are many reasons why men with a strong
and stable male gender identity will not pursue
the currently available genital surgery.
Factors influencing surgical decisions:
- Contact and information from other
men;
- family obligations;
- cost of multiple surgeries and time off
work;
- the extensive recovery time involved for
numerous operations;
- prohibitive health problems (such as
diabetes);
- risk of successful outcome;
- technologically inadequate outcomes.
Many men choose to forego genital surgery
because there is a high risk that surgery will
not offer an affordable,
realistic, and functioning
phallus.
Some men still sacrifice everything to pursue
the currently available surgically-constructed
phallus.