Physical presentation matters most to me (Importance: 9). As long as I am being called 'sir' there can be no happiness.
Mental health is important (7), but I feel that all of my mental health issues are just side effects of living in the wrong body.
Acceptance/companionship is third (3). The HRT instills in me a need to socialize, but at the end of the day that is far less important than being true to myself.
Financial stability is last (2). While it does help to have money for strong anti-androgens and surgery, the truth is that if I had transitioned when I was younger and poorer, I would have seen better results even *without* those expensive remedies.
For over 5 years, I put off transitioning due to financial concerns, fear of rejection by family, and a perceived inability to feminize. Now I know that money and close family ties could not buy happiness. Over five years later, with most of my hair gone and my skeletal structure locked in place, my inability to feminize became a self-fulfilling prophecy.