That operation is prohibitively expensive for most Americans.

Good. It's the most horrific of any other transition procedure by far, with some studies reporting up to a 70% complication rate, and no studies reporting under 20%. You will most likely lose at least some sexual function (the antiandrogens MTFs take cause them to lose their sex drive anyway, many say this is a blessing after the surgery), and you can lose your ability to even urinate properly or die of a horrific infection.

No, you're quite wrong about that.

Where'd you get that idea? Your imagination? Gays and lesbians have gender dysphoria. Apparently this isn't common knowledge for straight people. You could try reading James Cantor's research. You know "trans brains?" The brains of all gays and dykes are "inverted" in that way. Yes, even when they're not transsexuals. You'll also notice that in heterosexual transsexuals, their brains do not show this inversion. And you'll also notice that the heterosexual transsexuals transition much later in life for a variety of reasons, and it's dykes and gays who have dysphoria since birth.

That's right. But gender affirmation, including living as and presenting as the other sex does improve the well-being of people with gender dysphoria.

Actually pretending inhibits their ability to accept their own bodies because it strengthens the association between sex and gender, causing gender dysphoria to be more severe and persist for longer.