Difficulty: Moderately Easy
Step1
Live as the gender you desire for at least 1 year. This is to make sure that gender reassignment is what you really want. You don't want to change your gender and then find out later that you were mistaken.
Step2
Find a surgeon that you are comfortable with. Check his background and experience in gender reassignment surgery. If you have a friend who has had the surgery and is pleased with it, ask who her surgeon was.
Step3
Schedule an appointment to meet with the surgeon. Ask all the questions that you have. It would be a good idea to write down your questions beforehand so that you don't forget them.
Step4
Submit your deposit on your payment. Make sure all the necessary forms are filled out and you have done everything your surgeon has requested.
Step5
Pick a date for the gender reassignment surgery. Don't schedule it within the same time frame as any other surgeries because this an intense procedure with a long recovery time.
Step6
Seek out any post-therapy that may be necessary. This includes but is not limited to hormone replacement, permanent hair removal and voice therapy.
Step7
See a counselor after your gender reassignment therapy. Though you may not think you need it, this a large transformation that even the most mentally healthy patient will still need.