This is a difficult question in my case. If money and health concerns weren't an issue, my transition list would look like this:
1. Laser/Electrolysis (in progress)
2. HRT (ongoing)
3. Orchiectomy (next week!)
4. FFS - forehead, nose, upper lip, chin, trachea
5. Voice therapy/surgery if necessary
6. All the other mundanities - gender marker change, name change, etc
But, money and my health ARE issues. It's difficult to put me under anesthesia because I have a very narrow mouth opening (making endotracheal intubation impossible) and neuromuscular depressants are unsafe for people with my condition. I'm considering having my front teeth removed and replaced with removable partial dentures, which may solve the intubation problem. But if money and/or health remain insurmountable obstacles, my transition will be limited to:
1. Laser/Electrolysis
2. HRT
3. Orchiectomy
4. Upper lip lift (as far as I know, the only FFS procedure that can be done with local anesthesia)
5. Voice therapy
6. All the other mundanities