UNK-UNK- some time in the 2010s

“Boobs.”

He waited for her to finish.

“Boobs, breasts, mammary glands, boobies, teats, tits, titties, melons, boobs. Wow, there are so many ways to say “boobs”, to refer to these two masses of flesh and fat and skin and nerves that sit on top of my chest. And soon, these boobs,” she dragged out the word with air quotes gesturing around her chest area, “are going to be gone. Vanished, like the night in day’s wake. Over time, I might even think their absence is normal.”

She let out a sigh, almost as if she were daydreaming the day that she would wake up and not realize that her boobs were gone because she forgot they even existed on her body in the first place.

“Well, they won’t completely disappear. You’ll have scars on your flattened chest to replace your breasts,” Dr. Farah explained marking a line on each of the breast area. “The double mastectomy will be a modified radical mastectomy. Again, what that means is…”

She was paying more attention to the clock on his wall and the ticking sound that it made than his explanation of the procedure for the umpteenth time. She had done her research extensively even before going to the clinic and scheduling a consult to begin the procedure. A modified radical mastectomy would remove the entire breast tissue including the auxiliary contents like lymph nodes and fatty tissue. But the pectoralis major and minor muscles would be spared. And that was exactly what she wanted. She had spent several years binding her chest to appear flat on the outside and complete her look. However, it grew harder to bind her chest and more painful to breathe as her breasts grew larger and larger.

It took her a while, but she finally came to the decision of getting surgery so that her outsides could match her insides, and the first step will be the top. Of course, after her full transformation, she will no longer be a “she”. She will be a “he”. And she was so excited. She had saved up enough money to get her top surgery and was determined to work hard to save money for her bottom surgery. The boobs were priority because no one would take her seriously as a “he” if she still had massive breasts. She had resisted the urge to go on testosterone because a deep voice and body would not go well with a big pair of knockers or so she thought.

“Dr. Farah, I’ve listened to your explanation hundreds of times and each time I’ve agreed to the circumstances and procedure. Please, this is the big day, can you put me under and start this thing already?” she said exasperated with a small smile. Dr. Farah agreed to getting things started and by the end of the day, her boobs would be no more. She had a smile on her face as she fell in an anesthetic slumber. He was ecstatic to get life started as William instead of Eileen.