I want to come out to my grandma but she is pretty stuck in her ways. She is quite conservative but some of her recent political comments tell otherwise.
She calls me my birth name, despite me telling her not to, uses 'she' and 'her' and when people call me a 'he' in public she freaks out. I spend a lot of time with her because when my mom is at work she is my transportation. It contributes to my Dysphoria and I need to come out to her to help my mental state.
[Side not, she is very sexual towards me and although she has not abused me to my memory, I feel she may have before I could remember it]

Does anyone have any experience or advice on coming out to conservative family or helping them to accept you?

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Wow that side note was one heck of a twist. So I'm assuming your grandma is a lesbian?

My advice is to just tell her how you feel, be open and straight to the point. She might react negatively at first so be prepared for that but give her time. When family love is real, they come around.

I'm still surprised that she acts inappropriately around you. How so?

Hi Sammie,

I think Charlie Nicki has good advice.   I know the conversation won't be easy to initiate, but you will feel much better once you had done this.

Coming out in your situation directly addresses one issue, but might help with two important issues.