It really depends on your age if you’re a minor obviously you need parental consent. But a doctor will take you step-by-step starting with therapy a lot of them require a psych evaluation then after that I think you just kind of get approval from your insurance. So first I physical visit your primary care doctor
If you are changing your gender you can use the DMV form DL-329 to request the change. You do not need a court order to change your gender on your California driver's license or DMV identity card.
developed countries like Canada, add a tax to its residents income for health care, but your choices for care are slim unless you can afford otherwise..