Surgical intervention can be precisely what a trans person needs - it is also not always what a trans person needs. Either way, one should be free to determine the course of one's gendered life.
Judith ButlerMaybe we need to start with the rethinking of what is "west" and what is "non-west." It seems to me that there are any number of populations who already cross that divide, and we could probably point to several existing states that belong exclusively neither to one category nor to the other. Do we use these terms to designate geographical realities, geopolitical ones, or perhaps sites of power, exploitation, orientalism that move through space and time in ways that have to be tracked historically.
Judith ButlerThere is a rather huge ethical difference between electing surgery and being faced with transphobic condemnation and diagnoses. I would say that the greatest risk of mutilation that trans people have comes directly from transphobia.
Judith ButlerIn fact in politics, sometimes the thing that will never happen actually starts to happen. And there have to be people who hold out for that, and who accept that they are idealists and that they are operating on principle as opposed to realpolitik.
Judith Butler