Well that sounds a lot more straightforward than in the UK, the 3 psych's are the norm here, 1 local, and 2 at Charing Cross Gender Identity Clinic in London. That being said my doctor prescribed me with oestrogen patches to stop me self meding, so I was lucky and got a great start, but I still have had to go through the process anyway, and then after seeing the psych's, I saw the endocrinologist who upped my patch dosage and prescribed Decapeptyl injections. So no, I'm also not typical of the UK NHS route. Thanks for the answers, they're appreciated. Cheers, Eve