A teeny-tiny fishing village, year-round population, including surrounding farmland, maybe 300. When we go to town for shopping or services, "town" is one of three places, population 4000, 5000, or 6000, depending which one we go to. So, really quite rural.
My trans services - therapist, HRT doc, support group - are in the city, an hour and a half away, population 400,000.