I know a transman who hasn't gone through any hormone or other surgical changes. Their dysphoria exists and they hate their body, but they said surgery is something they fought for and didn't gain access too. Eventually they decided they wouldn't go down that route because while they have gender dysphoria, it's elevated enough by socially transitioning that they don't feel it's 100% necessary for them to live as they want to live. Sure, he still has the biological body of a female but he is still a transman.