for me personally, i think it is a choice.
i wish i had transitioned when i was young and my skin was supple not stretched because i probably would not have any surgery.
as it stands, i go shirtless in public anyway, even though i have not yet had surgery. i am hoping in the coming year to be able to afford it.
i think with the T, which causes the glands to deflate, and some serious attention to chest and back workouts, he can probably avoid having surgery if he chooses.
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what's a cowboy got to do to get a drink around here? 
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