I had sex reassignment due to an intersex condition. It greatly improved my life. It’s certainly not for everyone. It has its limitations and your choice of surgeon matters. When it comes to the aforementioned complications. I experienced some issues with dilation and such but they passed and have had no complications 12 years later. I can have orgasms. Very satisfying ones. Again, your choice of surgeon matters. This is not something to be taken lightly. I had to have 3 years of therapy befor a surgeon would even see me. I had to live as a female for one year before I could be prescribed hormones. There are good reasons for this. What they are doing today is terrifying. No therapy. No real life test. No restrictions on puberty blockers. My “transition “ lasted four years. It’s over now. I’m as complete as I’ll ever be and I try to be the best version of a woman as I can be.