I am not out as trans at work (I identify as lesbian at work) because it will be almost three years before I am permanent on my job. My therapist, knowing I was distressed that I would have to wait three more years before I can even start to transition, suggested I have top surgery first. Her thinking was that the is not unheard of for a woman to have a mastectomy. Then I could start T once I was permanent. I was wondering if anyone else out there had gone this route. I am concerned about losing my job because I present so not cis gendered.