Oh lord OP you're putting your foot in it all over the place!
I strongly advise getting the basics down before commenting anywhere else on SM!
You'd get clobbered for transphobia.
'I’ve worked with many genuine trans people over the years all of whom have had top surgery not all have gone on to have bottom surgery mainly due to cost or feeling comfortable enough now the pass day to day.'
Funny how top surgery whether double mastectomy or implants is so important.
Any thoughts on that OP? Esp why for NB female it's seen as a given to have breasts surgically removed. That's very strange.
Anyway.
You can't think of ANY reason anyone might not want genital surgery? You believe any (genuine) trans person would want and only not because of cost or will have but not just yet?
It hasn't occurred to you that the risks like loss of sexual function, unsatisfactory results, recurrent infection, possibility of multiple surgeries etc are so serious that obviously thinking nope is totally understandable?
That not having surgery on a vital part of body (loads of major blood vessels, nerves etc), baulking at the procedure, pain, recovery is understandable?
And when add the risks...
I am pretty concerned about the inadvertent messages you may be giving tbh.
Thinking that if 'genuine' this surgery is a given is not good at all. No one should feel they are genuine if have something as major as this surgery.