comment: >
  
  It's a surgery which inherently carries risk to your health, often requires many visits to the doctor after and maintenance you have to perform yourself. On top of that, the current quality of those surgeries doesn't satisfy many people as it isn't the same as being born with the different parts. Some also don't want to be sterile obviously. Healthcare also isn't the same everywhere and places that require sterilisation might be more risky and have a lower quality of healthcare for example.
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  I'm sure there is many more but those are just the first reasons that come to mind.
context: Finland has passed a new, progressive rights law which makes it substantially easier for trans people to change their legal gender. >
  
  Also, trans people no longer have to prove that they're sterile in order to do so. >
  
  Pardon me? >
  
  In many countries we are not allowed to change documentation to show the correct gender without meeting certain conditions and being sterile is common. Some countries require gender affirming bottom surgery before you can do anything at all (which implies sterility anyway). And not all trans people can afford or want surgery >
  
  That's interesting, why wouldn't a trans person want the surgery? I thought they want to be the other sex?