https://thetranscenter.com/transwomen/gcs/ https://thetranscenter.com/transwomen/gcs/ "The decision to have gender confirmation surgery (GCS) is a very persona

https://thetranscenter.com/transwomen/gcs/ https://thetranscenter.com/transwomen/gcs/ "The decision to have gender confirmation surgery (GCS) is a very personal, private matter, and not all transwomen will elect to undergo this procedure. It is important to keep in mind that GCS is not a requirement for transition, and many transwomen feel happy and content with their bodies without undergoing GCS." So yea, its elective.