People can survive in all sorts of ****ed-up conditions: no arms and legs, faces rotting off, giant tumors growing out of their heads. Just look at developing nations, the stuff people manage to survive for decades with.
Deformities are one thing, and this is something else. Two different things.
A transexual person has survived in a grotesquely malformed body for decades: since birth, to be precise (which is to their credit, and points to their fundamental psychological fitness and health).
But every day has undoubtedly been a torture. One does not "get used to" hideous deformities.
This isn't a hideous deformity. This may be something a very unhappy person has decided makes them even unhappier, but it's not a deformity.
One might live with them, but I'm sure one never loses hope that somehow, someday, one will be "fixed", freed from said deformity.
One gets up each day in a deformed body; one drags oneself through the days, because there is no choice, no immediate solution.
No one could thrive under such circumstances; their loathing of their bodies and their discomfort in them no doubt colors every minute of their lives.
Here again, they loathe their bodies, or do they loathe themselves? Seems like one and the same thing. What did people do before all this surgery? I know some just cut off the penis, but then what about the women who want facial hair, and no boobs, and a penis? Not going to happen without hormones, and major surgery. That major surgery has to be terribly painful, so I'd have to wonder how many wind up dope addicts afterwards.
Sex reassignment surgery in such cases is as humane as separating conjoined twins, as reasonable as removing a giant esophageal tumor that is slowly strangling off the person's breath.
I don't think it's on the same level, and it's not a deformity, it's just something they don't like. You can have a big nose, and it's not deformed in any way, it's just big. Then there are times when it can grow to be deformed, and this is different. Having a perfectly formed penis or vagina is not a deformity it's just something, for some reason, you don't like, but in this case, to me, you should be happy to be alive more than, "oops I'm the wrong sex". Take some Xanax and Prozac, and learn to love what you are.
I wonder how many who will admit it that have the sex reassignment surgery are unhappy with it. I watched a Howard Stern one night when they had on a woman who had a penis implant, or was it the other way around, but they said it was hideous, Howard and the crew did. It was like off center, plus how would it work. Wouldn't you need a pump? I don't see how a penis could be reconstructed with all the nerve endings. Now a penis to a vagina seems like it would be easier to do.