In Norway, where I live, it's not enough to just get a diagnose from a therapist/doctor/w/e.. We have to go to the capital to have meetings over a year with 3 people who are going to decide at the end of that year if you're qualified for hormones, and decide if you get the diagnose...
They are extremely 'tough' over there, and they are known for not being very humane....
100-200 people go there every year, but only 25 people get the diagnose and hormones... for the others they have to either get illegal or somewhere else idk what's up, they at least don't get their gender marker changed.
I'm afraid to go there now after hearing all the horror stories lol... But I'm probably gonna make it, because the ones that don't make it don't because of ''you're a mother, you can't be a guy if you didnt knew prior to having kids', and lots of other 'non-stereotypical' reasons that fit their frame.
I feel like it's much easier in some other countries, isn't it?