In the end it illustrates that, for people with severe gender dysphoria, transition is not a choice but a necessity.
I used to think myself unfortunate for being on the cusp of needing to transition but not quite there; of being stuck in an uneasy middle. But like Amy has done I accept where I am on the spectrum. She doesn’t glorify the process but calls it for what it is.
A change this drastic requires courage but it is more driven, I think , by the less desireable alternative of living with the intense discomfort of having your identity not match your physicality.
I also think that a full transition is best done when young and before the ravages of a lived life and testosterone have had a full stab at you.
Amy’s life will likely involve trading one set of challenges for another but at least it will be lived without that constant low hum of dissonance that eats away at you day after day.