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It's a little different for everyone. Sometimes it's more based in joy than pain or if things don't get in your way or you have active plans to change it's easier to live with them as a temporary nuisance. Sexual organs are often fairly low on the priority list because the surgeries around them can be a bit scary given the recovery regimen and with ftm bottom surgery you have to decide on what you specifically value in regards to function because nothing is perfect and it's a little more difficult to be enthusiastic about something that feels like a compromise. It's also scary in the way you could potentially make a choice out of the ones available and later on potentially wish you chose a different surgery option.
With hysterectomy as well if you aren't fantastically rich and can afford suragacy you have to give up on the idea of kids. So a lot of the biological concerns are very wrapped up in practicality and once you have a strong sense of where your values and what your overall life planning are the compromises make sense and become tolerable.
The HRT aspects are usually the bits that folk find relieving on the FTM side of things because you get more of the trappings you get to see and experience while you are out walking the world. The deep voice, the facial hair and the way fat redistributes itself on the body. A lot of people find that feeling of revelling in the things they enjoy about being in their body which allows you to focus on the good and dismiss the stuff you don't like.