Once you start down the path, it really gathers momentum. For me, it started with the decision I made with my spouse to transition. Then I started therapy and electrolysis. Then a name change and changing all my medical and financial records to match. My intention at that time was still not to have any surgery. Then I started HRT and soon scheduled breast augmentation. A year later I had SRS. The whole transition took only three years. Fortunately, my spouse supported me every step of the way. My story is typical and for many, the passage is only two years.