transition can be confusing.
This is a basic list of steps that will help get started.
MTF - male to female
FTM - female to male
GID - Gender Identity Disorder (Dysphoria)
HRT - Hormone Replacement therapy
SRS/GCS - Sex Reassignment Surgery/Gender Confirming Surgery
TRANSITION - the process of changing physical gender identity and role.
FULLTIME - in this paper, is used to refer to living every day, all day
in your new gender.
The Basic Steps ~
a good support group. Either on
line, or a group that meets face to face. These are the
people who will help you through your transition!
2. Get Informed! Read about what it is to
be transsexual. Do your own research on the web.
Get resources from your group or therapist.
3. MTF's begin electrolysis. Find an
electrologist experienced with MTF hair removal issues, preferably
including hair removal for SRS/GCS for the future.
4. Start a weight loss program.
If you are MTF, begin losing weight now while you are waiting to start
HRT. After you start hormones, it will be a bear to lose
weight! A trainer may help lean out muscle mass and burn
fat. Check with your doctor before starting a new health
special attention to your health!
You have been through a great deal of stress in your life, don’t risk
losing your health so close to finally having the life you waited so
5. Seek a therapist and start therapy. It
is preferable to find one with experience treating transsexuals, not
for the purpose of deciding transition, but rather to help you sort out
life issues. You have spent your life in the wrong gender.
Your therapy should address boundary issues, since often our rights
were taken away when we didn't fit the mould.
It usually takes 3 months of therapy or more to get a letter from your
therapist to start HRT. You may have to interview several
therapists before you find one you can work well with.
6. Ask your
doctor if he or she will start you on HRT.
Or seek out a doctor willing to work with you towards
transition. Start HRT as soon as you have your letter (An HRT
letter is not always required). You can download a document
to help your doctor understand doses of hormones to give you here.
7. Get advise about dress, hair, presentation,
etc. Start working on your female or male
look. Learn the vocabulary of your desired
gender. MTF's start working on you feminine voice
Choose a name http://www.babynames.com
8. Going out in public often can build your self
confidence. Go with someone, do not go alone! Avoid
isolated places, especially after dark! This will
take courage. It is highly recommended that you have a letter
from your therapist stating you are in therapy for GID, before you go
into a public restroom for the opposite gender.
9. Watch and imitate mannerisms of other women or
men. Learning the fundamental difference in the male and
female anatomy can help you change the way you walk and carry yourself.
10. Dealing with what others think of you - The
more polished your presentation, the easier it is for others to accept
you in the new role.
you don’t sell it, they won’t buy it!
You will need your therapist and support group at this point.
Take advise, but never let anyone dictate the direction of
your life. Be true to yourself!
11. Start your name change when you're ready to go
full time as your true self. It is still possible to change
your DL and SS card first with simple forms from DMV and
25.00. For more info, go to:
Many people still prefer to do a name change through the court
system. It can run around $300.00 if you have an income, or
if you are poor, you can get a fee waiver. See link above for
12. Inform others of your name change - contact all
companies you deal with and inform them of your name change.
(It's nice to have everything come in the right
name.) Provide documents as requested.
You may have to open new bank accounts in the new name or reapply for
13. Transition on the job. If
you are employed, you should speak to Personnel about your
transition. Try to get management on your
side. Be well informed on how to transition at work
before your meeting. Know your rights, but be flexible. Get
advise each step of the way. Have a "speaker" come to your
work to educate co-workers if needed.
Note: You will have to go full-time for one year before you get a
from your therapist recommending you for SRS/GCS.
You will need this letter for your surgeon.
14. Research surgeries and begin saving
for the surgeries you feel will make you whole. It is usually
best to wait a few years for hormones to take their effect before
getting surgeries. You may find you don’t need as much
surgery as you thought, if you wait and see how your body changes.
* For MTF, usually facial feminization
and/or breast Augmentation are
the first surgeries of
choice. But if money is an issue you may
choose to save for SRS/GCS
* For FTM, usually breast reduction is
the first surgery.
FTM’s often elect not to have
SRS/GCS because of the quality of
the procedures available at
15. Sex reassignment surgery is usually
the last event in transition. The average time till
surgery is about 2 to 3 years or more into transition. Not everyone
chooses to get SRS/GCS.
16. Change your
gender marker. The laws have changed recently with
respect to gender change. Be sure to check into the current
Note: If you are FTM and have insurance through your
work and have not had a hysterectomy, DO NOT get your gender marker
changed till you have had a hysterectomy! Your
insurance company will not pay for a man to have a histo!
17. Don’t forget to apply for your new birth certificate!
18. It's recommended that you continue with therapy for 6 months or
more after SRS. Depression is a common problem after
transition due to the realization of the limits of transition on what
you see in the mirror and other issues that arise in your life as a
result of transition.
19. My personal advise and a good rule of thumb.
Don't focus your attention
on what "didn’t" change to your liking, but rather focus on what you do
have. Realize, that your body is not “who” you are, it is
only an accessory of who is wearing it! “Be” who you are
inside, don’t “be” your body.
a Great Transition and a Great Life!
full of info and resources
FTM Transition Diary - download pdf and print to keep track of your
for HRT - pdf
Guide to FTM Genital Reconstruction
Helps TG Get Help.
Boys under attack
& Urinary Gear
with your insurance company first, as some do cover part or all of
Jim Collins Foundation
Provide financial assistance to transgender people for SRS/GCS
raises funds, through online donations for transmen seeking financial
assistance. To be applied toward the cost of hormones,
binders, packers, etc... As well as rent & food!
Tube - FTM You Tube style site
FTM Mentors - Find a local ftm for support.
Like Us (GLU) Los Angeles
is a group of gay, bisexual, trans, curious, and queer guys looking to
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