My name is Jamie and I am 64 yr old MTF trans female. HRT for 18 months. I live in Dallas and see you are a fellow Texan south of Waco. Welcome to the group. I am still debating which lower surgery I will have. I have plans for it when I retire in less than two years.
I think that you should plan on doing the lower surgery somewhere where they have more experience than in Texas. If you are ever up in the Dallas area let me know.