for me personally? im still thinking about it. i am fairly certain i will start hormones once im in a place where i feel safe and supported enough to do it. im uncertain about top surgery just because… surgery…. and as for the downstairs i like what ive read about metoidioplasty but its supposedly really expensive. i dont think id ever get any kind of surgery to construct a penis, ill just work with what ive got.
in general? if someone wants to medically transition, i say go for it. if they dont, they dont have any obligation to.