this post was submitted on 07 Jan 2026
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I want to correct a few misconceptions to start.
HRT is the first step in transitioning medically. Gender affirming surgeries are not done until at least 1 year of HRT, but usually more. The way you said pre-op first, then pre HRT made me think you may have a common misconception about the order of events. When I came out to my supportive parents, I did have to correct and reassure them that no I hasn't already visited Dr. Dick Guillotine.
Also I rarely hear trans people say pre-op. We use the term bottom surgery. Pre implies the surgery is necessary or inevitable, which it isn't. Some trans women choose to never get bottom surgery which is fine. Others get it and that's fine too.
The medical term in the DSM is gender dysphoria. Dysphoria as in the opposite of euphoria. Dysmorphia is a very different thing, it's the mental disorder where you're obsessed over a perceived flaw in your appearance. Very different thing. Dysphoria.
Good luck on your date! Be kind, get to know her as a person. Only discuss trans things if she brings up the topic. I have never had any issues with those who are kind and supportive but uninformed on trans issues. I just get annoyed at having to give the trans 101 lecture to every person I meet.
Thanks, this is great to know! This is the sort of thing that would get me into trouble if I didn't seem to know any of the basics.
your point about pre-op is so important, since not everyone wants bottom surgery, but I am a trans woman who uses the term "pre-op" a lot, but mostly to refer to before my surgery; when talking about other trans women I might use the clunky "pre- or non-op" as a more inclusive phrase to indicate what OP originally meant by just "pre-op" (though it would only be in niche contexts, like if talking about getting through airport security or how to tuck, etc.)
On the flip side, a lot of people just assume trans women are pre- or non-op, almost to the point where it feels like "trans" just communicates "has a penis" to a lot of people, and that can be similarly frustrating for various reasons.
This is either the first time I've heard you say it, or more likely the first time I've noticed. But in my experience, the term is much more commonly used by cis people, to the point that hearing someone say, "pre-op trans woman" concerns and makes me put my guard up at minimum.
Cis people tend to have a very genital driven understanding of gender which I find concerning if not worrying. The term pre-op and the ways its often used by cis people shows that attitude clearly.
oh I meant more like I use the phrase a lot IRL 😅
agreed about cis people being genital focused and the term feeling different coming from them in a context like that.
tbh I think most people have a kind of implicit genital essentialist view of gender, and I'm sure that kind of view influenced my own dyphoria and discomfort with my genitals (though it's hard to tell when dysphoria is coming from social expectations or socialized ways of thinking vs something more culture-independent and presumably biological).
Regardless, my essentialist views were pretty challenged by transitioning, and I even find it difficult now to think of trans women as having "male" genitals, that's just not the reality ...