I think we need a politics that allows us to risk what is intelligible. To be maybe slightly unintelligible, too be slightly "illisible". To take the risk of suggesting that the human form might take another form.
The real question is how do you survive at the same time you pose those risks? Because you need to survive. And it seems to me that you survive in community or in solidarity, with others who are taking the risk with you.
I think it's important to live with a certain danger and a certain risk.
There is a rather huge ethical difference between electing surgery and being faced with transphobic condemnation and diagnoses. I would say that the greatest risk of mutilation that trans people have comes directly from transphobia.