Not really too much to say other than what I've already posted. As far as I know, only SRS is covered at present, none of the associated stuff (HRT, electrolysis, trach shave, FFS, etc.). Although I'm aware of a human rights case that MAY have an effect (if won) on what else is covered, and MAY also open up other assessment centres besides CAMH. CAMH has a bad rep, but from what I understand, it is changing and becoming more open. I'm currently waiting to hear when my assessment will be - I sent my package in on Sept. 3. You absolutely MUST be referred by a physician, then they'll send you an intake questionnaire, which you fill out and mail back. It took me 4 weeks to get the questionnaire after I asked for the referral. It also doesn't hurt your case if you find a gender therapist to work with while you wait. You should absolutely wait for the assessment before doing anything permanent like HRT, unless you decide to go it alone (i.e. pay for everything yourself, which is, of course, an option). I have a wife (31 years) and 3 kids (adults, living at home), so I'm taking the conservative approach, and waiting for the assessment, although I have come out to my wife and am starting to come out to the kids (I told my older son yesterday). Also, seek out support groups in you area, and see if you can find and meet any trans people in your area also - I've found that to be very helpful in my case. I'm in the GTA.