"Post-op" is short for post-operative. When used as an adjective of a person, this term typically signifies that the person has already undergone gender reassignment surgery.
Some trans women avoid this label because of not wanting to be associated with the label or condition of transsexualism and simply identify as their gender identity. A minority of them will use surgery status as a means of discriminating against those who are either unable to obtain surgery or who do not desire it.
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