I sort of get the male/female transition but would have thought the other way would be difficult, surgically that is.
The mind boggles with some of this stuff.
Many of those who transition don't go "all the way" it is usually described as top surgery and bottom surgery.
Top surgery would be to either augment breasts or remove breasts and is a lot more common than bottom surgery.
The bottom half is usually managed with Meds until the lifestyle adjustments made possible with top surgery are bedded in.
As you say, bottom surgery can get very complicated and it is not always as successful as top surgery