i'm a trans guy, 30s, been fat all my life. i'm desperate for top surgery, but every surgeon says i have to lose weight. exercise with my huge chest is hard enough, but now makes dysphoria worse (it's like my boobs are the reason i can't have my boobs off). since age 7 (not a typo), i've been fatshamed and forced on every diet. these days i exercise reasonably, eat decently. i know i'm never losing the weight, though. i need top surgery more than anything. i don't know what to do anymore.