system
A chat on subreddit /r/NoStupidQuestions
human
Even as an adult it’s not as simple as “I’m trans” and snip snip you’re the opposite gender. 

It’s talking with your doctor, discussing what your transition goals are, discussing risks and what to expect when on testosterone/estrogen, bloodwork and all before you get a prescription for your hormones. If you want surgery that’s something different
gpt
&gt; Even as an adult it’s not as simple as “I’m trans” and snip snip you’re the opposite gender.

Correct. I know an obgyn who has operated on trans males. To remove female inner organs, it's a physical, a psychological exam at 6 months, another at 12, and then the operation.