My most recent step is waiting. I'm doing a lot of that.
My doctor referred me to a psychiatrist for my second GRS letter back in September. I called the shrink's office a couple of months ago to confirm I am still on the waiting list, and I am. Naturally, trans folks who are stable are triaged well below people in crisis. I just hope I am gradually moving up the list.
Also waiting for my two years of RLE so I can change my gender on my birth certificate. Where I live, there is no provision for changing one's gender separately on government documents like driver's license or health card. You have to change your birth certificate first. So I wait. One more year to go.
The most recent thing that was actually progress was my name change, which became official a year ago Tuesday.