My first doc was great - probably one of the most knowledgeable docs about TG issues in my metro area. First appointment, he talked with me for over an hour about things related to HRT, and then called several days later to make sure I was tolerating everything well.
He ended up closing his practice several weeks later for restructuring, and he referred me to this other clinic. The doc there was completely clueless, and it ended up being me managing my own therapy through him as he had no experience whatsoever - I don't know about you, but when I'm paying a doc for treatment, I generally like it when they are managing my care and not me. First words he said to me after I explained my situation was, "So you want a sex change?" in a baffled tone. From that point on, I knew I was not going to like this man...
I've been looking for a new doc lately and think that I have found one - I hate going back to the doc I have now. Unfortunately, there aren't many options for those of us who cannot use our insurance (my insurance is currently on my parents' policy, and they are uninformed and unsupportive).