Someone at work that used to be my direct manager had a meeting with me to introduce themselves. They didn't recognize me at all and I didn't want to out myself by disclosing who I was, so I went along with it.
I don't like lying, and when they asked about my work history I was honest even though it created immediate suspicion (how could we have not worked together given when I started working and my job experience?), and I just shrugged. It's obviously a kind of deception to not out myself, and I don't like that - but my instincts say it's better in this context to not out myself.
Probably relevant to the context is that the boss is male, older, conservative, and an immigrant from a non-Western culture that is not open minded about these things.
I am pretty sure based on things they have said in the past that they wouldn't be tolerant of a trans person.
Anyway, to my trans elders: how have you handled situations like this?
the fee you pay is different than the total costs, I paid $1,000 for my PIV, but the total costs were still over $100,000. That's not including the thousands I spent on a hotel room for the week after I was discharged but not permitted to go home yet.
Edit: I should say I'm in the US, there are cheaper options elsewhere like Thailand. There is even a very cheap option in Thailand where they don't put you under general anaesthesia to keep costs low.