THIS PAGE IS NOT COMPLETE
This section covers some of the lessons I have learned related to male to female transitioning as a British native mature adult (over 40) based in England, United Kingdom. All negative and positive aspects of opinion highlighted are as per my personal experience in the early 2020's and I appreciate that my experiences with various organisations may differ from that of others both historic and in the future.
In regards to the specific gender transition path I followed, I made best efforts to work with the UK NHS establishments but due to the general state of trans care (and the collective state of NHS England affiliated GP Surgeries) in the UK, I operated mostly outside their administrations and essentially felt resigned to predominantly use various private sector alternatives both nationally and abroad for things that the NHS could have (and arguably should have) supported under the NHS charter at the time. As a result of systematic faults in the way that NHS England operates, they missed out on the opportunity of benefiting from the money I spent in the private sector alternatives. The state of NHS funding and the impact of the COVID pandemic does not explain the issues I had encountered which can only fall into one of two categories: professional incompetence/negligence and/or bigotry (either of institutional or organisational/individual origins).
The level of BUPA cover that I had available to me during my transition changed from being seemingly non-existent initially to being pretty much a replacement for the arguably inadequate and inhumane UK NHS GIC system. This change in level of cover was too late to support my GGCS but it was still beneficial post-GGCS. The implementation of the cover by BUPA itself does seem to be relatively new and while the vast majority of BUPA staff I have interacted with have been exceptional there is still a definite need for improvement and at the time of writing this I believe BUPA is aware and is working on it. When BUPA has resolved it's apparent "teething" issues, I believe it should be used as the baseline model for trans care support with-in the NHS.
The remainder of my lessons learned are broken down into sub-sections relating to specific aspects of gender transition.