General Discussion
In reply to the discussion: Planet Fitness cancels woman's membership after her complaints of transgender woman in locker room [View all]enlightenment
(8,830 posts)required in quite a few US states, unfortunately. Some states demand it before they will - for instance - change a birth certificate (some amend, some will reissue).
The problem is no clear set of rules from state to state. It has less to do with the perception of the individual and much more to do with the perception of the rule-makers.
(An fyi - my son recently completed a successful surgical series for a complete phalloplasty - in London. He had originally leaned toward oophectomy, but after research and consultation with his surgeons, opted to go the whole way. It has worked out very well and yes, luck always has something to do with it - but he's very happy with the result. Everyone's mileage varies, but I think that you are expressing the most conservative options. Techniques are improving every day).