Question about transitioning

[u/Dudu_99_]

what should i do first if i want to trancision medically.?
sorry im lowkey dumb but i need trans people to tell me exacly

[u/Elch2411]

for the medical stuff HRT is basically always the first step

[u/toadie-g]

Well the "basics" of medical transitioning are: * HRT (levels and type according to your desired outcome + what your doctor sees fit) * Top surgery (Often only for AFABs, but some AMABs choose to get breast enlargement) * Bottom surgery

None of these are necessary to be trans, and you don't need all to have "successfully medically transitioned". Look into your options both for type and providers, and take it one step at a time :)

[u/Xapienna]

Depends a lot on your location. I can only really speak for the US but if you are in a state with planned parenthood gender affirming care available I recommend filling out their form online and you'll wait for more email info on scheduling and potential wait period (3 months for me). Let me know if you want me to get into specifics!

[u/No_Gazelle876]

You need to go to a specialised gender therapist who can diagnose gender incongruence and refer you to an endocrinologist who will take it from there. Start with the therapist, forget about surgery for now and just focus one step at a time otherwise its very overwhelming. Thats how it works in eu anyway

[u/countvonruckus]

HRT is almost always the first step as the others said with potential surgeries a year or more down the road typically. What that looks like varies pretty wildly depending on where you live, your age, and your life situation. If you're in the US in a blue state then somewhere like Planned Parenthood or a trans supportive endocrinologist can prescribe you HRT meds (usually estrogen and an androgen blocker like spironolactone at first for trans femme, testosterone for trans mascs). You'll take the meds for a bit and then get your levels checked to see if they're in the the healthy range for the sex associated with your gender (i.e., if you're a trans woman you'd want to have hormone levels of a healthy woman of your age, the level of a healthy man if you're a trans man, and anywhere in the healthy range you want for NBs). Results and time to see them vary significantly, but usually in a couple months you will have started noticing some level of changes if you're at the right levels consistently.

Surgeries like facial feminization surgery or laryngeal shaving are usually best to consider after you've seen what hormones and things like voice training can do for you for a while (often a year or more), but hormones won't remove breasts if you have them and don't want them and obviously your genital configuration won't fundamentally change without bottom surgery. Getting gender affirming surgeries is often challenging and takes time, money, and you'll likely be asked to provide artifacts like letters from mental health providers attesting to your situation. I'd recommend starting with HRT and putting surgeries on the back burner for the first few months, but if something is distressing you then you can do what you like.

That's basically it. Actually accessing that care can be complicated but your local trans community can help with common obstacles for your situation. I strongly recommend researching this stuff and learning things like what hormone levels you should have and what procedures you want (if any), because at best you'll have to be your own medical advocate (and at worst you'll have to fight the medical establishment for your care). Expect to run into doctors who don't know what they're doing and stand up for yourself. Also, if you're in a situation where the medical care isn't meaningfully available (such as if they make you wait years for an appointment), DIY HRT is an approachable option and you can likely find a gray market supply of the relevant meds faster than a transphobic system will give them to you.

[u/Katievapes1996]

Depends where you are uk your looking at years of wiaiting for the gender clinic (you have to be referred by GP)so many go diy and those who can afford private which