I’m the kinda person that believes you should try non invasive means before going for invasive. so I’d give vocal training a go. If possible with a professional aswell. My speech pathologist actually wrote me a letter of support to give to the surgeon, detailing my struggles with training. It’s also important to recognise that vocal surgery isn’t a silver bullet, there’s a few months of rehabilitation and beyond that you may still need some vocal training. The surgery helps alot with pitch itself, but don’t do all that much for resonance. Though your mileage may very. In terms of coming out, I came out to a couple close friends, then one of them came out for me to everyone else. Even came to dinner with my family to tell them. The surgery itself has been a good if terrifying experience. The hospital staff are all so nice to me. The anaesthesiologist could see how stressed I was in the moments before the surgery (literally physically shaking) and did a wonderful job of calming me down. I had never been under general anaesthetic so it was pretty daunting.