Here is a list of all my important transition related dates:
4/5/10 started testosterone (transdermal)
9/21/10 started testosterie injections
11/29/10 name change court date
3/30/15 first chest surgery
3/2/16 second chest surgery
3/21/22 hysterectomy salpingo-oophorectomy
In 2015, I got my main chest surgery. It really was crucial to my well-being. I had another surgery that was planned to revise the first one. I am still not entirely happy with my results and I may seek another revision to remove the rest of the breast and fat tissue and to make the nipples look more normal.
This year I had a "full" hysterectomy. I have been pleasantly surprised with my recovery. I've had no fewer than 4 surgeries in the last two years, but the time in the recovery room for this last one was the worst. I generally don't have a lot of nausea, but I did this time. They also needed to keep me until I urinated, which took some time. Meanwhile, everytime I'd drift off to sleep the blood oxygen alarm would blare and wake me back up. But after peeing the blue dye out and heading home, the recovery has been great! Besides the significant cramping feeling in the recovery room, I've had no pain. In fact, getting an IUD (which I did in 2015) was much more painful for much longer. I've had no need of narcotics, just ibuprofen and acetamenafen alternating for a few days. I did have some pain in my shoulder for a day or two from the gasses they use for the surgery. A heating pad helped immensely. My eyes were also a bit off for a couple of days. Hard to focus. Likely a side effect of anethesia, but not one I've encountered before. After a week, I have to consitently remind myself that I am still recovering and will be on restrictions for 6 weeks total.
I admit I was more nervous about this surgery than the others due to the possible (however remote) ill effects it could have on my enjoyment of sexual activity. I will not know the extent of this until after the 6 weeks, but I am not terribly worried at this point.
It proved to be quite hard to find any sort adeqaute information for this surgery as it relates to transgender men (or non-cis AFAB folks). The majority of the information was for and about older women. I saw recovery times ranging from 6-12 weeks (including no sex of any kind!) I am cleared to retrun to work with some restrictions after 2 weeks. Restrictions should be lifted by 6 weeks. There was no ban on external stimulation, only penetration, and of course lifting and other pysical exertion.
I think the biggest loss from this surgery was my shaved belly hair. Due to my age and duration on testosterone, my head hair has been thinning a whole lot these past few years and I take pride in the other hair I can still successfully grow. It will grow back of course, but it was sort of a surprise how much disphoria can be caused by a smooth abdomen.
Though my surgeon works through the "Women's Clinic" I did not have any negative conversations about this surgery. Insurance required that I submit 2 (two!) letters from different therapists stating that I was in fact trans and could make this sort of medical decision. That was a bit ridiculous, but worked out in the end. My pre-op nurse did ask if my family knew I was there, getting surgery. I scoffed and said no, but pleny of supportive people knew.
At this point I just don't want to rock the boat with my parents. I am confident in my identity and what needs to happen to my body. I don't want to risk getting into debates or anything with my parents about these things. It is possible that they'd want to know, just so they can pray for my recovery or whatever, but that's not necessary for me.
As for effects of 12 years of testosterone: my hair is very thin these days and I have been taking finasteride to try to hang onto it. I'm hoping that on account of my most recent surgery, I'll be able to lower my T dose a bit. It's been on the high end to keep menses away. Perhaps with a lower dose, I'll be able to keep or regain some hair. It's also possible I just need to embrace the fact that I'm a guy of a certain age and give up the fight. 
