I am glad you are finding a way to move forward, as these things are not easy to navigate at all. We all have to find our own individual way forward. With regards to the NHS stuff, you are totally correct; you have to be on the pathway to receive that assistance from them. I will say however, you specifically mention dysphoric feelings with regards to facial hair. I have had a pretty serious issue on this front myself, but I held out for the help from the NHS with regards to getting it removed. I have been on the pathway for almost 6 years, so it made sense to hold out. The treatments for a full face hair removal isnt too pricey as far as I can tell, it may be worth you checking to see if it is something than can fit in your budget. For a full face, like what the NHS pay for; you should be able to get 6 sessions for around the £700 to £800. Possibly even less, I do not know; you would have to talk to a laser clinic to find out for sure. I can only guesstimate. A good laser clinic, such as SK:N, should have free consultations, so never hurts to enquirer. You wouldn't have to tell them anything personal, other than you just want to get rid of facial hair. The sessions are spread out over a 4 week period, as they need to catch the hair in its growth cycle for the most effective treatment. I do not know if they do payment plans, but it would be worth asking if your dysphoric feelings are as bad as they appear to be on that front. Up until the past year I would pluck each and ever hair out by hand with tweezers, so I fully understand how bad you must be feeling over it. I had to force myself this past year to not pluck it, as I knew the hair removal was finally on the cards. Laser will not work unless the hair is actually there, so if you do pluck at all; stop a few months before even contemplating seeing about any hair removal treatments. It does sound, as far as I can tell from your written postings however, that you should be sitting down to speak to a gender psychologist; if you are not already doing so. You would be surprised by how much it helps. When I finally made it to Charing Cross GIC, just having a doctor to talk to that understood and was able to help finally allowed me to breath as a crushing weight was lifted. The waiting lists can get pretty long, so for anyone who does seek out a GIC; it will take a bare minimum of a year before you get to see a gender specialist in most case. Took 3 years for me to finally walk in their door from first seeking help, but I was forced to see a local psychiatrist by my then GP; and the whole process got held up as the psychiatrist did not send out the referral for over a year.