It really depends on where you are. In the US it’s remarkably easy if you’re an adult. Basically find a doctor that does informed consent and wait the 1-3 months for an appointment. It’s one of the few things we do well when it comes to healthcare.

And if you don’t have a doctor with informed consent like I did, it’ll probably take about 3 months of therapy, but your wait list time can be during that so it can easily be 4 months. That’s how it was for me 10 years ago

Seriously, Europe needs better trans healthcare. We have family medicine doctors and general practitioners who specialize in serving the queer community’s health needs and they will prescribe hormones without much fuss