Some things gender dysphoric males should consider before transitioning:
1. Just because someone referred to you with she/her doesn’t mean you passed to them.
2. A very small percentage of males have the capacity to ever pass, and even for most of these it will require surgery.
3. There are real long-term health consequences to hormone replacement, including but not limited to infertility and a vastly elevated risk of testicular cancer.
4. It is not the case that if you don’t transition you will inevitably end your life. It is not clear from the best evidence reviews that transition even improves one’s chances.
5. The source of your dysphoria is almost certainly a paraphilia called autogynephilia. This is not a value judgement. It’s why I transitioned, and it doesn’t always feel like the sordid caricatures many gender-criticals highlight. But it is a paraphilia. It is not an innate female psychology, it is not a sense in which you “are a woman” psychologically. It is a desire born out of your love for/attraction to women. It’s worth knowing this.
6. You will become much more invested in how other people see you, which is deeply unhealthy. You’ll be paranoid about whether someone clocked you, whether someone judged you. This is because your new identity is based entirely on perception and social approval, whereas your sex is a physical fact. Far more stable.
7. If you are one of the vast majority motivated by autogynephilia, having genital surgery may remove your desire to live as a woman. Then you must choose between continuing to pretend, or admitting you made an almost unimaginably huge mistake.
These facts should be part of any legitimate informed consent process to access transition treatments. But they’re not, so it falls to me to tell you. Whatever you decide, go into it with your eyes open.