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People getting hooked on cosmetic surgery looks really similar to how dysmorphic anorexics wind up.
Sometimes a surgeon can do an amazing job, and many will consistently do so. Much like how people can look much better by loosing weight. You probably couldn't tell if someone had their abdominal adipose tissue injected into their butt or breasts if it was done well and you didn't know. But then they're likely to decide it isn't enough.
Dealing with dysmorphia is hard. Changing to body neutral attitudes is hard. Seeing your body realistically is hard. I struggle with weight based dysmorphia myself and I know I possess the capacity to starve myself emaciated and still think I look fat because I have organs.
I find it ironic in a way, that Ms loomer is a transphobe who probably thinks we need therapy to deal with dysphoria, while being clearly at the mercy of her dysmorphia.
There's a question I've seen posed in some circles before: "Do you need a boob job, or do you need to read some feminist theory?" It's not meant to be accusative, the answer can be either and thats ok, but it's important to actually consider that your perspective of your body and of other bodies may be skewed before you surgically go changing things based on your insecurities. Even if you pick the boob job, you're more likely to go in with realistic goals and less likely to keep getting another procedure if you've seriously thought about it before.
Yeah I was an anorexic teenager and while I didn't just keep getting smaller, was maintaining at 99lbs, 5'9" for years. I weigh about 150 now and even though I literally feel so good physically, and understand that's kinda unusual at my age, and have managed to at least keep my bone mass (it's low, obviously, but not declining, made it through menopause with all of it, and that's also unusual) and logically understand that:
This is considered smack dab perfect weight for my height and age.
Losing weight now would be kind of dumb and counterproductive.
I cannot shake the fear and dislike and anxiety over being this big. I don't want to be 99lb, no way no how absolutely not. But at every single point between that and this I feel too fat. There is no weight that will look how I want, though, and again, I suspect this here is ideal because nothing hurts and I'm strong, though not fast. I know it's my mind that is the problem, and not my body. But knowing it doesn't make me not feel too big.