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You can certainly express your identity as a woman without experiencing significant discomfort associated with your assigned gender. Many individuals may identify diversely, and not everyone feels distress, which is essential to acknowledge. It's important to explore your feelings and experiences. Connecting with supportive communities can also be beneficial. However, discussing your thoughts and identity with a plastic surgeon can provide additional insights and guidance tailored to your needs. They can help you navigate your path, ensuring you feel understood and supported throughout your journey.

Gender reassignment surgery cost varies depending on the type of transition. For male to female transition, the cost ranges from $2,438 to $6,095. For female to male transition, the cost falls between $4,876 and $9,752. 
For more detailed information about the cost check this page - Gender reassignment surgery cost

The thoughts can sometimes be related to a condition called gender dysphoria, where a person feels their biological sex doesn't match their gender identity. If you're experiencing these feelings, it might be helpful to speak with a psychiatrist or a sexologist. They can provide support, guidance, and information on possible treatment options, like hormone therapy or surgery. 

The main surgical procedures for male to female gender reassignment include vaginoplasty, breast augmentation, and facial feminization surgery. Vaginoplasty is creation of a neovagina and breast augmentation ie. insertion of breast implants to create a feminine chest. Facial feminization includes rhinoplasty, brow lift, and cheek augmentation procedures to create a more feminine facial appearance.