I'm late getting to this thread, but I just finished reading it through from the beginning. Quite a few great ideas, and not a little bit of disagreement. Thought I'd throw in my 2 cents.
Starbuck, I'm amazed at how similar we are in our thoughts on these subjects. I suspect we could be good friends. Feel free to PM me, ok?
Attempting to stay on subject (as the rest of the conversation has already covered my thoughts, so far), I'd like to give my opinion on HRT and RLT. I believe that anyone that has sought therapy and been "diagnosed" as having gender dysphoria, and who is ready to accept the effects of HRT, should be allowed to start the regimen. There are several months at the beginning before the effects are permanent (well, unless you're talking T, which has immediate and irreversible effects), and this time can be often used to determine if hormones are even right for the person. Many people find that it makes things worse, and pull out completely. I have also met some "serious crossdressers" who are on hormones, and will go no further towards transitioning. They simply find the balance they need, and that's what all this is about, isn't it?
As for RLT, or RLE as I prefer to call it.... well, it was my understanding that it was simply a requirement put in place to give the transitioner time to learn to live as a female, and make sure they could handle it. It's quite an enormous change to one's life, and has it's own set of unique issues. I have personally met people that have failed at RLE, even after several years of being FT, and have gone back to living as men. They just found that they couldn't accept the new role, regardless of their personal gender. It's not for everyone, no matter if you're TS or not. Everyone is different, and many find a balance point for their GID that does not require fully transitioning, or even living FT. For some, giving up the male privilege is just not something they can handle.
As for requiring RLE before HRT - well, that's just hogwash, imo. There's such a wide spectrum of needs for trans people, as not everyone requires the same help, path, or has the same end point... it just makes no sense to require someone to go out into the world looking their worst, in order to get permission to start a lengthy process like HRT. I understand that some say 'well, there are side-effects', and yes, there are. But if you go off the hormones, especially if you're only on them a short period of time, most of the changes are not permanent (except in the case of T). But the benefits of the hormones are just amazing. Mental clarity, changes in perception, feelings, sensation, sexuality for some, and then all the physical changes that only help you to be gendered female when you are out trying to learn to live as a female. I started hormones after dressing for only 3 months, had FFS after 5, went FT at 5.5, and have never looked back. For me, this was what I should have done years ago. But that is not the case for many. I know of many girls that are on HRT for 6+ months before going FT (some for several years) - this only helps them integrate more smoothly when the time is right for them.
Every therapist I've heard of in my area only requires 3 months of therapy, and nothing else, to start hormones. Now, I don't know that I necessarily agree with that approach either, as I have met people who were still questioning whether they were actually trans, and yet started HRT. Some waffled for months, even as they developed breasts. Personally, I feel that is wrong. But, since the effects of E are not immediate, I guess in 'most' cases, no harm no foul. Still, I disagree with this approach.
I believe that both HRT and RLE are essential before undergoing GRS. Yes, one can still live as their birth gender after GRS, if they so choose... but changing your genitals is nothing short of a complete life-altering event. It affects SO much more than just what's in your pants. Well, unless you have no intention of using what's in your pants, I suppose. Preventing regret should be key to the process, and I believe that is why the standards are in place in the first place. They are certainly not fool-proof, as the human condition adds a unique uncertainty to everything we do - but they try.
Rebecca xxx