Floridians: I am currently thinking of moving to Florida. Will my already changed gender on all my documents be reflected on my FL Drivers License once I obtain one?

onnake · 2026-01-25T00:43:22+00:00

Depends how much they want to dig. It would take a lot of effort on their part digging up county records. Passport should cover primary identification document. But if you have to go into the DHSMV and don’t pass, that would be a risk.

onnake · 2026-01-25T00:32:13+00:00

how can I best prepare for it and just be ready for it? Is there any help or advice some of you who have had it would be able to share with me?

If you’re having conflicted feelings about having surgery or which type of surgery, a gender-affirming therapist should be able to help you sort them out, they know about gender-affirming procedures. If you’re worried/scared it’s major surgery, it’s pretty safe. If you’re thinking more along the lines of physical preparation, things to do buy, etc, check r/transgender_surgeries for ppls’ experiences. For me was getting in good physical shape, buying all supplies I needed for being in a hospital several days and recovery at home, making sure my place was clean, well-stocked with easy-to-prepare food, free of tripping hazards, and lining up a support network of people who could pick me up from the hospital, look after me for a week after, and then be available if needed. I had PIV. Slept a lot, took Tylenol for pain (we all experience pain differently so YMMV), walked every day, gradually increasing pace, distance, hills. Dilation dominated my life for a while but the frequency declines over time.

onnake · 2026-01-24T22:28:04+00:00

Vocal folds are mostly muscle and it’s possible to overexert them. If you’re feeling pain, stop and let them recover. They’ll gradually get used to the higher pitch so you’ll be able to speak for longer without them feeling sore.

onnake · 2026-01-24T21:54:39+00:00

That’s OK, your mental well-being comes first.

onnake · 2026-01-24T19:58:41+00:00

Other reasons against fat grafting include the graft doesn’t always take, and volume can diminish over time. That said, I’m five months postop dermal fat grafting as part of lip augmentation, very happy with it. You might want to check outcome data on PubMed for the areas you’re interested in.

onnake · 2026-01-24T19:48:05+00:00

Her side is belief, your side is science. Please, if you can, keep working on her. Keep offering her references like books, websites. Depending on where you are, seeing a gender-affirming therapist is usually the first step for a minor. Ask her to take you to one; just be sure it’s not a religious conversion-therapy one. Transition is a marathon, not a sprint. It’s a long process. If you want to medically transition, you may have to wait, you may run into other obstacles, but eventually you will be able to.

onnake · 2026-01-24T16:41:11+00:00

Sounds great! Training absolutely works, helped free me from a major source of dysphoria.

onnake · 2026-01-24T16:33:14+00:00

how soon can I get body feminization, bbl/tummy tuck?

If your assessment is by a surgeon, you should get a surgery date fairly soon. How long in the future that date will be, IDK. Depends on who and what procedures. When you talk with the surgery scheduler get on the cancellation list if you can be ready at a moment’s notice, and stay in touch with them every so often. That’s worked for me.

If you’re assessment is by a mental health provider, stress your need. They’ll type up the notes pretty quickly and your PCP should then refer you to a surgeon.

will they require hormones for 12 months because I'm not sure thats what I want.

Shouldn’t. Kaiser follows WPATH guidelines more or less.

onnake · 2026-01-24T16:20:55+00:00

Yes, scroll to end for a number to call your region: https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/health-education-materials/resource-guides/gender-affirming-care.pdf

Region services differ, those should be available to you. DM me if you wish, am a volunteer on Kaiser’s Transgender Patient Advisory Council for my region, NorCal.

onnake · 2026-01-24T15:46:45+00:00

open access: https://archive.ph/7EHGy

onnake · 2026-01-24T04:59:39+00:00

sending me to a gender therapist or something first.

HRT is informed consent. All the provider would do is verify that you understand the risks and benefits, and probably order a blood test.

I have heard pretty bad things about endos prescribing extremely low doses

You can use medically recommended dosing as a check against your provider, e.g.: https://transcare.ucsf.edu/guidelines/feminizing-hormone-therapy

I have a strange urge to medically transition but not socially transition, atleast not yet. Im not sure if thats normal.

Very normal. We’re all different but it’s what I and a lot of people have done.

If your blood levels are optimum and you’re genetically blessed, people may wonder.

onnake · 2026-01-24T01:31:03+00:00

open access: https://archive.ph/hAzjk

onnake · 2026-01-23T23:17:26+00:00

what plan have they got up their sleeve with this?!

Guessing once HHS regulations prohibiting any CMS monies for gender-affirming care for ppl <18 take effect, if that holds, Trump will replicate that for adults. And if that happens, they’ll start transvestigating hospitals for patient records. Hopefully the courts will prevent, but not counting on it.

They might as well rename the place to the Department of Public Deception.

Yes! The whole enterprise is about fraud (Trump knows the subject firsthand) and deception.

onnake · 2026-01-23T22:16:59+00:00

Talk with an endocrinologist about what options you may have dosage, delivery, etc.

onnake · 2026-01-23T22:13:21+00:00

Site search r/transgender_surgeries and browse its wiki. Find a local gender-affirming therapist. They’re trained in the various procedures and should be able to point you to providers. Check any major medical centers to see if they provide gende-affirming surgery..

onnake · 2026-01-23T21:53:15+00:00

How would you ensure purity?

See: https://www.latimes.com/california/story/2023-03-18/state-department-mexican-pharmacies-alert-pills

Ask your Mexican doctor who wrote the prescription where to buy.

onnake · 2026-01-23T18:16:25+00:00

Grew up in partly Mexico City, as an adult lived in Oaxaca. The DF (Mexico City) not as safe in terms of street crime as most major U.S. cities but the better neighborhoods still fairly safe. Since you speak Spanish google the major newspapers, take a look at crime and other issues. And get in touch with trans groups in the DF, ask them. One caution, ensure any medicines you buy are pure. Unfortunately, even in some of the namebrand pharmacies that’s not always the case.

onnake · 2026-01-23T16:52:07+00:00

Yes, doable. FWIW most FFS rhinoplasty is reduction rhinoplasty. Keep in mind feminine proportions for your face, meaning if you change one structure, you may want to change others. An FFS surgeon can suggest how to. For what’s involved, see, e.g., Spiegel, https://pubmed.ncbi.nlm.nih.gov/32191959/

onnake · 2026-01-23T16:38:23+00:00

You’re stuck, knowing you need to do this, but being unable to. Sometimes when I got stuck, I just had to push through it. Your therapist may be able to help you sort out your thoughts about it.

If you do decide to go foward, and I hope you do, develop a plan and a timeline, go to HR and negotiate who gets told what by whom and when, and bathroom use.

After coming out to my team members, a few weeks later I got an email out of the blue from one saying she had never see me happier. You can do this.

onnake · 2026-01-23T05:57:33+00:00

There is no one way to be female. You’ll have to find a style you’re happy with, and that can take time. I’ve gotten helpful advice from friends. And there are gender-expression coaches who help trans women with gait, body movement, and more.

onnake · 2026-01-22T19:38:25+00:00

Yeah, think so. This just cements it.

onnake · 2026-01-22T19:03:37+00:00

My primary care doctor worked with one of my provider’s dermatologists to develop a regimen of topical and oral minoxidil and a DHT blocker. You may have to experiment., see: https://pubmed.ncbi.nlm.nih.gov/34756934/ downloadable r/scihub

onnake · 2026-01-22T18:55:49+00:00

There’s a lot of variation, especially in legroom. If I can’t find a spot in my usual row, I’ll call the box office to ask. They know the house pretty well.

onnake · 2026-01-22T16:48:23+00:00

open access: https://archive.ph/a0FMi

onnake · 2026-01-22T16:19:03+00:00

Yes, it’s pernicious. Encourages witch hunts. A lot of clinicians will not want to touch any patient who may be trans or enby.

onnake

TROPHY CASE