For myself Julie it went as follows:
Therapy lasted close to two years and is still on going (2004 - 2005) and I saw two therapists. During this time I did this:
1. Came out at work
2. Legally changed my name
3. Started HRT
4. Started RLT
Dec 2005 - Emailed the clinic in Montreal and received their info package (Brassard and Menard strictly adhere to the SOC)
Mar 2006 1 year HRT completed
Aug 2006 1 year RLT completed
Aug 2006
1. got my letters from my employer, and one each from my therapists, my Dr and my endo.
2. filled out the information package, and phoned the clinic that it was already. They asked me to fax everything to the clinic (many, many pages). I was on hold while they received the fax and after about ten minutes the assistant told me that everything seemed to be in order and would I like to select a date for surgery - It was that quick and it caught me off guard. I asked what dates were available this year 2006 and there were two left - Dec 5th or 11th (the one I chose).
Sept 2006 - went to the clinic for a consult with Dr Brassard (himself

)
Oct 2006
1. gave them my banking information so that they can withdraw the funds as they need.
2. faxed off results of the medical tests they require
Oct - Dec 10th - waiting, waiting, waiting

So this all took place from the summer 2004 until now - pretty quick.
I was fortunate in that I have saving that I'm able to use to cover the costs, however it will clean me out, but then I'm worth it

Hope this helps.
Steph