Tink,
many completely bypass the system.
Hormones, lets face it plenty, thousands, get it online.
SRS, if you've been on hormone awhile, they'll accept you in Thailand.
I've been in therapy quite a while so I'm not anti-therapy,
just saying realistically, you can go around it if you want.
Is it a good thing? Well, that's another question entirely.
I do think that there are some, for which therapy is
totally useless. They are the epitome of being adjusted,
while others like me are a mess regardless of our gender thing.