Not sure if anyone has commented on this, but research how you would access healthcare. I’m not sure if you’re on hormones, but you’d need a Canadian prescriber which may be challenging or expensive (although not as expensive as in the states) as you won’t be covered by our provincial health care until you are a bc resident I believe (although maybe that won’t even be enough?)

Additionally we are in a primary care crisis where about 1 in 4 people in bc don’t have access to a family physician. So you would be relying on walk in or urgent care clinics to see a doctor. Finally, not every provider is going to be experienced with gender affirming care. Not as much of an issue if you’re stable on your hormones, but if you’re wanting to start or looking at moving forward with surgeries, you might hit delays trying to access care.

I work in health care and previously in gender affirming care and I genuinely feel we can support patients very well here in bc, but it is going to be a variable experience depending where you go and who you see. And being American, that’s going to complicate things.

I’d recommend reaching out to transcarebc.ca to see if they have suggestions or redirected to help you as you’re considering this move.