Voice - practice singing along to songs by female singers, it does help, and don't put too much pressure on yourself to get a high pitch, you could end up over doing it and attracting attention.

Once on the NHS care pathway, you'll be offered voice coaching sessions, they are very good.

Hair removal- MtF

This is a long process, ideally start as soon as you can, there are various ways, the most common being IPL, but electrolysis is also effective.

Search out deals on sites like groupon or wowcher, as sessions can mount up cost wise. IPL for dark coloured hair and electrolysis for white or ginger.

each person is different, but expect at least 12 sessions to be needed, 8 can be funded by the NHS once you're on the care pathway.

Going out in public, first time is always the hardest, you will be very self conscious and extremely nervous.

It's only natural to feel this way, after-all you have no idea how anyone will react, but try not to let your nerves get the better of you, hold your head up high and don't furtively keep glancing round the room.

Should you get any adverse comments, if they are distant, turn a deaf ear to them, if they are up close you can either ignore them or walk away, but most of all, don't let it affect you. Most of us have been there at some stage, and despite what you may think, it does get better and easier.

Whenever possible in your very early days, try and go out with a friend, they can help you, support you and lift any sagging confidence.

In progress......please wait

Make up - the less you can get away, the easier it will for you to 'blend in', don't be afraid to ask a friend to help you, and practice in the early days, try out things in front of a mirror, see how it looks and find your own method of application, it takes time and patience until you get used to applying make up.

Lisa Kelly

Transgender/LGBT activist
AGE: 49
EMAIL: akakelly69da@gmail.com

Hormones, Once you get started on them, don't expect a miracle, they work slowly.

you will in effect be forcing a second puberty on your body, and you may be an emotional wreck until they settle down, each person is different, so that could be a couple of months to 6 months.

Breast growth (MtF) will differ from person to person, some may see growth from as soon as 3 months or not see any growth for 12 months or so, be patient with them.