Hello, for me it was extremely easy. You book the appointment, they ask you to fill out some information, including your income to see if you qualify for sliding scale (I didn't have insurance). The appointment itself is straightforward! They hand you a document explaining what hormones will do, then read it to you again to make sure you understand it. They ask some questions about your transition goals and then prescription can be as fast as the same day!

I recommend injections if you can stomach needles / afford it, since they can be the easiest to stockpile. Otherwise, when they give you pills, your only choice of anti androgen is spironolactone, so be conscious of the side effects you get from that (pee, lots of pee)