First off you have to see a therapist then she will put you on female hormones, And what surgeries are you talking about? Breasts implants you should be on female hormones for at least a year in order to strech the skin to accept the implants facial anytime you are sure you really want this, SRS is the final step and you need two letters aproving the surgery from therapists and to get them letters you have to meet a lot of things first takes at least two years to get the letters maybe longer for some depends on the person
Jennifer