*
Megan:
Hello.
There is no single answer, including parents and family. My immediate and extended family all knew about my intentions throughout my childhood and teens. When I made my change, they used it as their excuse to reject me - much as the way Grace told you about a 'bargain'; my dad was quite explicit about his. Too bad I am not for sale.
Too bad your mum is choosing rejection rather than reality. In other words, taking down your family pictures and calling you 'dead' is not reality, accepting you as her child is reality, is what being a parent is all about. Maybe she will one day welcome the new 'you' as much as she welcomed the original 'you'.
It is tough moving on when family rejects you for who you are - especially a close family member such as your mother. I always left an opening for both parents, they failed to accept it, and they both died bitter in their hatred toward me - so I moved on. You will continue leaving your opening for your mother, you will miss her, and you will move on in your life willing to wait for her to catch up to your slow-moving healthcare train.
I extend my best wishes for you and your family's healing.
*