Gender reassignment is a long process, so if after talking it through with the relevant people and after a reasonable time for reflection and consideration you are still sure it is right for you then yes it should go ahead. Hormone therapy will have given a person an idea as to if it is right for them before hand.
Your life, your choice. America is a country of the free.
People who are voting 'no' obviously do not know any trans people.
Being transgendered is classified by the world health organization as a medical disorder by the ICD-10 CM. Meaning it is a mental illness. As such, they should seek proper mental therapy regiment before they resort to genital mutilation.
It's self mutilation, a symptom of SEVERE mental illness.