It seems to me that I have heard of males living as women without any surgery, or hormones at all and not being intersex who have had successful lives. One case I heard of had cross dressed as a youth and as soon as they got in college changed to full time. I hope they have or had happy lives and that eventually that is how we will all do it. Of course, for an intact male, there is that troublesome masculinization, so I know they must have done something along the way.

I had I to do it over again, I would bank some sperm, assuming I was young enough for it to matter, get a castration and start on low level estrogen, but not do anything else. I just don't know how it would go getting a female partner because any women I have discussed it with want a male figure.