A. No. As the goal is the relief of psychological distress caused by a person's self-identity being at odds with one's physcial nature, surgery is not always necessary for the individual to find peace of mind.
Some people find a "zone of comfort" with their bodies without the need for surgery. For others, surgery may be the only means of relieving their distress and aligning their bodies with their self-image. More.
I cant really gove you an answer,but what I can give you is a way to a solution, that is you have to find the anglde that you relate to or peaks your interest. A good paper is one that people get drawn into because it reaches them ln some way.As for me WW11 to me, I think of the holocaust and the effect it had on the survivors, their families and those who stood by and did nothing until it was too late.