I think the #1 most important thing you must do for your own sanity before or early in transitioning is to learn to accept yourself and be comfortable with you are as trans. It was once, not too long ago, my biggest fear and now I really don't care. I am stealth transitioning for the benefit of ease of acceptance for my wife and to give me time to sort out everything that needs to happen. But here are some of the things that happened to me that made me laugh now but would have killed me had I not been comfortable with being trans.
* - On my first HRT doc appointment they asked it if was ok if his intern came into the room with him. I said ok and in walks a drop-dead gorgeous female college medical student. Yea! And then he starts asking me all sorts of private questions about my trans experience.
* When I went to pickup my first E script the pharmacist was very concerned that I understand WHAT the doc had prescribed for me. I told her I did understand. She asked WHY and I said, "Well because I'm trans and am going from MTF....lol
* When I went to get my bloodwork they lady looked at me strange and called the Dr. to see if they really needed to test estradiol levels and why. He told her none of her business he was addressing hormone imbalance issues.
* When I went to buy some makeup to see how I would pass after a few months on HRT the cashier asked me if the makeup was mine. When I said yes he said..... really? I said yes and he said.... "are you sure?" and I said yes, it is mine thank you.
* When I went to my GP for a physical and to come out to him as trans they asked if I would mind if his intern came into the room too. Guess what, another georgous medical student.... yea! This time I took the opportunity to try and educate her on the TS medical issues as they don't teach it in medical school.
* There have been a few more of these and if you are reading this cringing wishing you could some day transition but this is just to embarrassing to handle...... well that is where I was eight months ago. Personal acceptance makes it all a lot more fun. I even have a list of people I am deliberately going to avoid so I can blow their mind when I am full time. If I have to go through this, then I am going to have some fun with it!