Dysphoria:

I'm sorry you're experiencing dysphoria at all. It can be so difficult to process, but recognizing it is important. I would suggest talking with a gender specialist or therapist/ counselor. Know that it's okay to feel this way and there are ways to alleviate it. Do your research and make sure the place you're going to is either LGBTQ friendly or specializes in gender dysphoria. Ask friends, community members, your primary physician, or research places online.

Hormones:

Hormones may affect your body's physical appearance to better align with your gender identity. I was assigned male at birth. I started hormone replacement therapy when I was 19. Estrogen and spironolactone have made me feel more at home in my body. My skin softened, my body hair thinned, my hairline stopped receding, I developed breast tissue, and the fat in my body has redistributed to give me a more feminine figure.

Unfortunately most places require you to have spoken with a psychologist or therapist who diagnoses you with dysphoria or even 'transgenderism'. From there, they can recommend a clinic or doctor who can prescribe hormones. Most clinics require regular testing and suggest therapy to be sure your physical and mental health are in check.

​Please do not self medicate as it can be very dangerous. Everyone's bodies are different and need different amounts of hormones. It's important to have regular lab work to test that your levels are normal and healthy.

Video for my 22 months on hormones update.
​Trigger Warning: I give myself a shot in this video.

Lately my weekly shots have been so automatic, I don't even think about them anymore. The day I filmed this, I woke up and remembered what it was like when I felt so much body dysphoria I couldn't leave my bed. So I decided to record myself injecting my estrogen shot. I recorded a voice over on why I started HRT and about the changes I have experienced from a combination of estrogen tablets, injections, and spironolactone. Please do not take hormones without a doctor's supervision and with regular lab work. It can be dangerous to self medicate. 

Surgery:

Most surgeons require people to have been on hormones/ lived in their gender identity for a year or two. Your therapist (and sometimes a therapist with a PhD) will have to write a letter explaining that you have dysphoria and understand the risks and benefits of surgery. Do your research! This is a serious decision; make sure you're comfortable with the surgeon you pick.
​Some insurances will cover top surgery, but many surgeons don't accept insurance.