For various reasons, I've been FT for over a year and haven't processed legal name change yet.
The only real problem is doctor's offices who dont give a ->-bleeped-<- enough to use the name I tell them to call me by. Random embarrassments are things like getting carded for stepping into the books section at an adult store while browsing with a friend, or accidentally using one of the credit cards I have with my male name on it (I got one issued in my female name just by filling out a request online.) Downtown, apparently, most places card you on purchases, but they actually *can't* do that if it's signed and isn't otherwise suspicious. I'd honestly just call VISA right from inside the establishment if any place actually refused to bend when I pointed out the requirements to them. In the suburbs, it never really happens.
I also live in Texas.
I also completely avoid non-gay bars and basically never order alcohol when I'm out, don't buy cigarettes (but I don't smoke usually, anyway), etc etc. I feel like a second class citizen, but it's hardly impossible.
I actually feel worse about the idea of female name + male on the license, than my current license. Just feels like a pariah brand. Then again, I have a fairly recent female picture on my license so *shrug* But a passable picture + gender accurate name, and most people will never even think to look at the gender marker. I kinda figure I'll spill some coffee on the card to try to stain over it when I file for name change next month or so.