Why not transition fully?

Why does someone who would have likely benefitted from medical transition not do so?

I came to the conclusion that if I could get to 100% perfect self acceptance I would see then. If I ever got there I would evaluate.

When I finally achieved my goal I realized that I was happy enough with the body, the voice, the mannerisms, the poise, the confidence and the amount of people who accepted me for who I am that I no longer needed to. Many have no idea.