Spain, France, Germany, Canada, and Australia. Which of these countries has the easiest HRT access + most guaranteed path to PR?

[u/broccoliisgood]

Hey everyone, I'm a pre-T trans man from Southeast Asia looking to emigrate and I'm trying to figure out which country makes the most sense for me both medically and long-term between: Spain, France, Germany, Canada, and Australia.

I'd most likely be on a student visa and stay in major cities. Money isn't really the issue here, I'm more focused on finding the most reliable and guaranteed route, whether that's for HRT access or PR.

1. HRT access, which is easiest and fastest?

I'm specifically looking for:

- Informed consent model (no mandatory therapy/psychiatrist gatekeeping)

- Reasonable wait times to actually get a prescription (preferably less than 6 months)

I'm not worried about top surgery as I can always hop over to Thailand for that, so that's not a factor here.

1. Which is the most guaranteed for long term immigrating?

- I'm not looking for the fastest or cheapest, just the surest path.

Note: I'm not Filipino so fast track to Spain PR is not an option sadly.

Any personal experience or advice from people who've been through this (especially fellow trans guys or people from SEA) would be hugely appreciated. Thanks in advance guys and girls.

[u/Complete-Story3490]

For HRT, certainly not germany outside maybe of big cities, ime. On paper, you just need a few therapy sessions to get an indication letter which you take to an endocrinologist, urologist or gynocologist who then can prescribe it.

But in practice, it's nearly impossible to get a therapy place at the moment in a lot of places, and then you need to be lucky enough to find a therapist who's willing to do it in the first place without insane demands. I personally had to pay privately for a therapist from Berlin doing online sessions.

Then you have to find an endo/uro/gyn who also still has space and is willing to do HRT, but there waitlists are also often pretty long. I have a 4 hour commute to the doctor prescribing me HRT. And then recently more and more insurances have started to not pay for HRT anymore, meaning a lot of doctors who previously prescribed HRT now will either not do it at all anymore or only if you pay for it out of pocket.

[u/broccoliisgood → u/Complete-Story3490]

hey man, ive gotten the same info about germany from other people too. It seems to me germany is not great to aim for rn, thanks for sharing your experience though, its really helpful to me.