
Someone who can be described as being a gender refusenik is someone who does not undergo any sort of G.A.S. though the reason can vary. Some are denied surgery by external sources (lack of funding, lack of access to a competant surgeon or healthcare, gatekeepers deciding that the patient should not have access to surgery for whatever reason) while others deny themselves due to a lack of desire to undergo surgery. This can be due to either fear of surgery, or simply being comfortable in ones own body, despite still being transgender.
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