That's what happens when you're not sure you're about that life. I work in healthcare and so I've had to learn a lot about trans people. Before they can do any surgery what is SUPPOSED to happen is this:
1. They are supposed to see a psychiatrist and be assessed for months. They are then supposed to meet the criteria for gender dysmorphia or gender identity disorder. It's at this point where a lot of people get screened out. If they get on anti depressants and recieve counselling they will either find that they're not really transgender or they find out they are.
2. If they are diagnosed, they are supposed to live as the gender they identify with for at LEAST one year. Dressing like a man or woman, talking like one etc. If they cant do that, then they arent getting any hormones or surgery.
Some people want to bypass all of that and they get their own hormones online, or they go to a counsellor who just basically acts as a rubber stamp instead of trying to assist with treating any mental health disorders they may have, and then they connect with pressure groups and put pressure on physicians to prescribe hormones or diagnose, and basically force their way into getting the surgery.
This is of course the natural result of all that.