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How about in your experience? You tell your doctor you are trans, they understand they have no idea what they are doing.... then easily refer you to a trans specific doctor that is available in a reasonable amount of time?

On a Frivolous Friday note: what do you think about Caitlyn Jenner? On one hand, she is a very high-visibility person who has been widely respected for decades as a world class athlete. On the other, after their association with the Kardashian attention whores I can not shake the suspicion that it is all just a publicity stunt.