Visited my doctor and came clean, asked to be put on hormones and get a referral for a sex change (2-3 year waiting list to get it covered by provincial healthcare program; OHIP).
Appointment went great, turns out my family doctor used to be Jan Morris's doctor,
http://en.wikipedia.org/wiki/Jan_Morris, I love it when someone you have a good feeling about turns out to be every bit as awesome and nice as you expected.
He's going to read up on the most recent guidelines and get back to me within a week with a referral but told me he'd be happy to prescribe me hormones when we've dotted all the i's and crossed all the t's.
This probably means some sessions with a mental health worker but he says those are also covered under the provincial health care program (OHIP) and I'm more than happy to do them.
This makes me happy.