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Navigating the medical system as a trans person can feel like entering a maze with no map. From misgendering at intake to fighting for insurance coverage, accessing gender-affirming care often requires more than just courage. This guide breaks down how to access respectful, affirming healthcare in Canada, the U.S. and Europe.

Whether you're on estrogen, testosterone, or blockers—this guide shares what 6+ years of HRT and community care has taught me. From second-puberty side effects to science-backed self-care, this is your honest, body-loving survival manual.

Think you need years of therapy to access HRT? That “real” transition requires surgery? Let’s bust the top myths about transitioning — and share the truth instead.

Transition isn’t a checklist — it’s a journey. From surgical prep to emotional curveballs, here’s what I wish I’d known from the start, and how real support helped me navigate it all.