[user104658]

Full medical transition means permanent involvement of medical services in your life. Maybe this will change as medical technology progresses - who knows - but currently, that is the situation. I don't think that is really made clear enough at all to those seeking to transition. I'm sure for the mostpart it is at the point of ACTIVELY being with those services, but by that point people are often so far down that route that they socially and psychologically have little option but to continue. It needs to be makde clear and honest to all from the outset; people end up with severe medical injury from transition surgeries with poor outcomes, and even the ones with good outcomes have permanent medical consequences. Even worse if maintenance exercises are not done regularly -- and in a community with high rates of poor mental health and depression, the risk of letting that slide is HIGH.