So, assuming this is legit (insert MASSIVE GRUMPY RAINBOW here), after Phil's had this op, he's 'female'. Then what? He lives for being trans this, trans that, so discriminated against by doctors omg, but when the op is done, this shit is over. He's no longer trans anything, he got what he wanted, he's living as a female. The desperate struggle charade is over.
Of course, Phil looks like a man and no amount of genital mangling will change that. He'll still be read as male, so we'll still be hearing about how transphobic the world is to him. Phil might be stupid, but he's at least not dumb enough to believe that cutting his dick off will make him into a pretty princess (he's smarter than a lot of troons we follow in this respect).
However, no amount of turning his acorn dick inside out will change what an utter attention-seeking, filthy, low-iq-ed waste of resources he is, and this operation (assuming it actually happens, which is still 98% unlikely despite what this obviously copied and pasted letter on plain A4 and not hospital stationery says) does nothing to change how he lives his life. Phil will still be an autistic re.tard with no job, no prospects, an acoholic and abusive housemate and neighbours that hate him. It'll be interesting to see the slow realisation that everything he's pinned his hopes on to change his life has done nothing of the sort.
There's a debate to be had here on whether people like Phil have another version of Munchausen's, or if it's all pure attention-seeking. Any guy can larp as a troon online (and many we follow do). Not so many go through with the whole medical side of transition. I'm sure for troons like Phil, getting 'official' people like medical personnel to take them seriously and indulge their fantasies is a huge ego boost. But if can only go on for so long. Once the op is over, all that lovely attention from medical services treating him seriously is gone, and he's expected to go away and live life like a normal person. IF Phil is actually having this operation, what happens in the months and years afterwards could well give us the best content yet as Philthy realises that to keep people's attention he's gonna have find a new schtick.
Or, as is more likely, it's all bullshit, in which case the pathetic excuses as to why the op hasn't happened should be hilarious to witness also.
Either way, we win.