Hey there,
There isn't one uniform way to transition. You'll likely get a lot of varied answers here. It will probably be difficult to glean any kind of trending information from it, but there may be something that resonates with you or helps you along. Most people do see a therapist first (or at least relatively early in the process), because it is sometimes required for HRT and always required for top surgery.
If we don't consider all of my half-hearted transition attempts before college and grad school, this is my timeline thus far:
- Summer 2014: I came out to friends and some family members, chose a name.
- Fall 2014: I came out at work, to the rest of my extended family, online and started seeing a therapist.
- November 2014: Switched therapists, had initial appointment to fill out paperwork and get blood drawn to start HRT.
- December 2014: Started HRT, got a referral from my therapist for top surgery.
- February 2015: Had top surgery consultation, booked surgery.
- March 2015: Legally changed name, gender marker on documents.
- April 2015: Top surgery.
My only additional milestone right now will be a hysterectomy, hopefully within the next two years. Personally, my plan is to get all my surgical needs taken care of, then move and start over elsewhere. I'm doing just fine transitioning in place, but I'd like to be in a place where people just know me as Max and not Max who used to be a girl. I think it'll really depend on what you're comfortable with. If I could go back, the only thing I'd change in life is I would have started to transition in college. It seems like an ideal time to get it done with.