I initially wasn't too concerned about having the insides out any time soon. But I've heard so many people say that they had much better results from the T once they got the ovaries out and were no longer producing so much E. I've been frustrated with the lack of/slowness of the changes, plus I've been having a lot of pain and cramping since starting T, so I would really like to have the hysto as soon as possible. But then, I really want the chest done as soon as possible, as well, and I can't see how I'm going to be able to afford either one.

I keep hoping for PCOS, or some such thing that would make it cover-able by insurance. Is that twisted?

I'm not sure how much I want removed. Definitely the ovaries and the womb, for the above reasons. I'm not sure about the cervix. On the one hand, nobody really knows if there is an increase in the possibility of cervical cancer because of the T. Plus, if you keep it, I suspect you would have to continue having regular exams. But if it's removed there is an increased chance of vaginal prolapse. And I imagine sewing the end closed would shorten the channel, and I don't have an extraordinary amount of depth as it is ... Sorry. TMI.

I definitely don't want to lose the VJ at this time because A) I'm not opposed to using it if I can't have a fully functional penis, and B) There's always a chance that some future procedure for surgically creating a penis will end up using that material.
And as for whom to go to, if you are not planning bottom surgery at the same time, probably an OBGYN.