I wanted to mention that hormone therapy doesn't work the same for trans masculine people as it does for trans feminine people. In B.C. we've been seeing trans women suggesting things like facial feminization surgery and facial hair removal. There are other interventions that would be required that would increase safety and well-being. For those, British Columbians aren't funded. We do see, unfortunately, some trans women quite urgently needing that care and travelling to places like Thailand for facial feminization surgery and then coming back with very serious complications.
It's a really important area to look at.
Testosterone really makes a lot of changes for a trans man—bulking up, facial changes, hair growth—whereas for trans women, estrogen doesn't work because you can't override the testosterone in the same way. Often more surgical intervention is required for trans women.