The persistent struggle of identify issues and being trans.
This is coming from someone that in the past has struggled with body dysphoria,and had questioned my gender identity. the most obvious marking being the mask, while being safer in your body. New more strict standards have been placed on your beauty, that you must be cuter, whiter, and doll faced.
so yes even with surgery and other things, nothing guarantees you will feel accepted in your own skin. the scars and current cuts reflect the past, present, and future of self harm and self worth issues. a past of misunderstanding, pretending and faking, lying about yourself to you. the present of not being at your body goal and plotting out what things to do now or later. while knowing yourself, you are only thinking of what you will make of yourself. and the future, like I said that even with getting all you need you still may not be safe in your skin.
Being trans is scary. it's not some sort of lightswitch choice in which one day you just reckon one day, you are actually a girl. even without outside influence. the internal struggle is still massive. a feeling of being excluded, not being confident in your body, dating problems, culture problems, everything that could make you not feel like you.
It's not fun so... I did not wanna make my pride piece be all rainbows and fun or just yaoi or yuri or everything in between. it's mostly to recognize those issues that trans people face outside of their demonization, health care issues, safety issues, and everything else politicians wish upon them for no other reasons as to be evil.