I had ALT Phalloplasty. There was no way I would consider RFF mainly because I'm a guitar player. (Also, I have very small forearms and no fat on my arms, so I would have required an erectile implant for aesthetics and I had no interest in the implant.)
My top priority was to be able to STP without a lot of urethral complications. That worked out very well and has made a huge difference in my life. My second priority was aesthetics and I came out OK in that regard. My aesthetics are negatively impacted by my lack of balls. My scrotum wound up too far between my legs and my testicular implants had to be removed. Very disappointing. My glansplasty also failed. My third priority was sensation and that hasn't worked out. I didn't gain any erogenous sensation in my penis. I have my natal sensation but unexpectedly--because I've never heard anyone mention this before--it makes me uncomfortable to stimulate because that just feels way too female. As a result, I'm no longer interested in sex.
If I could do it all over again, I'd make all the same choices I did, so at least I'm not living with regret. You win some, you lose some. The fact that I have a penis and can pee through it are super important to me and so despite my disappointments, which some would find pretty devastating, I still feel like I came out on top.
Joshua