I didn't go through PP, but the clinic I go to is also informed consent based. I went in for my first appointment and met with a doctor, reviewed my medical history, discussed T in depth, etc. She gave me a consent form to read over and sent me out for lab work. A few weeks later I came back, we reviewed the lab work, went over the consent form one more time, signed it, and I got my prescription. I started on gel, but when I switched to injections a few months after that I also got a drop-in appointment with a nurse to learn how to self inject.
I don't think anybody has success with GoFundMe/online fundraising. If that's the route you feel compelled to go down, I wouldn't try to raise the full amount of your surgery costs. I would try to raise half. People are more likely to donate if they see that you are putting in an equal share of the effort to meet the costs.
Depending on your life circumstances also, you could look into working with companies that cover surgery. Starbucks, Apple, Target, etc. all offer trans inclusive healthcare benefits.
