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​In regards to not having access to surgery, point in fact, in Oregon you can use F for a male who identifies as female and M for a female who identifies as male. This is really the reason for the question (and may not have been clear about that). If a female who identifies as male uses M for their gender marker and is in a prison which places them in with men that is not a good situation or must be pat down at an airport etc.

Same here, I've never been a big chat room person (I think I've looked into the chat rooms here once or twice, and very briefly both times - possibly because nobody was there)

You didn't drive me away! I've never been much of a chat room-er!

I did change my gender marker pre-surgery on everything except my birth certificate (NJ requires bottom surgery before you can change that, but that should change next year when we lose our current pathetic governor). Another consideration for a lot of people is access to surgery, not everyone has the resources to get them done.

I agree, good decision. But you may change your mind in a month, a year, five years. And that's okay too.