I'm on a full dose of T and totally androgyn identified. My therapist approved my transition and we had to create a letter just for me cuz I don't fit into her binary letter form. Lol.
I don't plan on top surgery so I can't speak to that bit...I'm planning a reduction and I've not told my surgeon about the gender peice that plays into my need/desire for this surgery. (I'm DDD/F cup. So other reasons are easy to come by.)
If you struggle to find and andro friendly therapist let me know. My therapist does skype appts and I love her, so I'd be more than happy to pass on her info. (though, that being said...she's otherwise rather strict to the Harry bengimen standards of "therapy for 3 months" before writing a hormone letter.