I sometimes wonder how many surgeries the people who lust after this stuff have had. I'm sure there's some who've had surgery before deciding to chop their tits/cock off and are crazy enough to chase the coom anyways, but... anyone who's had a moderately serious operation knows that, even with the best doctor and the most well-established procedure and best aftercare in the world (none of which troons have lol), it's suboptimal experience. There's always going to be pain (both immediate and accute, as well as longer-term, because healing takes way longer than people think it does), scarring or other aesthetic changes, potential infection or other issues, physio requirements which are boring as all hell, changes in body function (maybe minor, but they'll be there). Surgery's discussed so casually in trans circles (and elsewhere in Current Year - think of the normalisation of plastic surgery, for example) that I often think it's not until you've had surgery yourself that you realise how difficult and distressing even a very minor operation can be. And god knows amhole surgery isn't minor.