It's definitely a huge toll to pay as I have mentioned above, but the feeling that some trans women have is so strong that this is their only escape to happiness. If money is what it takes to look and feel the way I want, then I'm gonna go for it. My career should offer me way more than enough money to pay for these kinds of procedures. As for the appearance of the neo vagina, there is a lot of information out there if you look it up. Sometimes you can't tell them apart from a real vagina (or so I've heard). There are some definite features that set the neo vagina apart from a real one, like a few scars and such, but depending on the surgeon's skills, they usually turn out pretty good.