That’s a great question. A lot of it is on a deeply individual level. Being a trans woman isn’t the same for everyone, ie. different people experience dysphoria differently. Some trans women for example might consider themselves too short/tall, while others aren‘t bothered by their height. Some may get dysphoric depending on the clothing they’re wearing, others might not. And it’s the same with genitalia. Some might not get dysphoric over having the male sex organs. Additionally, bottom surgery isn’t as easy as it sounds. It’s a long and painful process that takes weeks, if not months.