Yes, I am absolutely sure of this. This community is mostly older people, and it is conservative, and most of the people are fundamentalists. Religion is very important here. There is also a very good measure of poverty, which breeds a certain amount of intolerance as well. This is a nasty combination. Gossip here is a full-contact sport. My wife sells real estate. She could very well be shunned and lose business - lots of business - because of me. Gay people in this community (and I know four of them) are barely tolerated, and they need to be very stealthy - it needs to be plausible that they are just "two really close friends." (Nobody really believes that - but it's important to be able to pretend that.) Despite this, they still get a fair amount of grief and some people simply will NOT deal with them.
There is a reasonable probability that I could face physical violence here. Certainly I'd face a lot of social hostility. I'd also cause a lot of shame for a number of my friends here.
This is one of the worst places in the continental US to transition. I've been told of a couple of trans people from here - they left.
The nearest support for someone with trans issues is 50 miles away, as is the nearest hospital I'd trust to see me should something go wrong when I start HRT.
I've talked to a LOT of people - NOBODY thinks it would be a good idea for me to stay here. I also don't really believe my wife is going to handle watching me transition anyway.