[SelfMadeMan]

I definitely think that it's an individual thing. I would never go so far as to say that having ANY surgery is necessary, if that person is wary of going under the knife. For me, I was large chested and VERY uncomfortable with my body - to the life threatening extent - so for me, having top surgery was a necessity for quality of life. But I don't see it as necessary for anyone to be respected for who they are. I have evolved on this issue, and I am very grateful for pulling my head out of my ass on this. I used to feel that, for someone to be considered male, they needed to do A, B and C. That's bullshit. I was projecting what was right for me onto others, and that's so wrong. Whoever a person feels they are, has nothing to do with a checklist. So in that respect, I don't think top surgery is necessary - unless that person feels it necessary for them. Hope this makes sense - not enough coffee yet this morning