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Quite recently the UK has seen a rise in waiting times for using public health services in order to transition. Transitioning on the public health service in the UK is something that is quite common especially if you dont have the funds to do it privately. The UK has a public health system which is called the NHS (National Health Service) and it uses tax money to fund medical costs, so in theory you should be able to go to your GP for free and they should be able to refer to the gender clinic and they should be able to refer you to an endocrinologist or specific surgeons for what youre looking for. Private health care usually just means finding your own doctors or endocrinologist or surgeons and paying for that yourself. Regardless of whether or not you are under private or public health care its important that you do what you can to stay safe especially as transitioning is an extremely personal thing and can be quite invasive. Its important to know about the side effects and risk