Local groups are an excellent source of information. Most have a newsletter you can get, and some even have hotlines. Search for your city name in the top field 2. Copy the email addresses of anyone from your area who has posted something smart-sounding. Write to them privately, asking for a therapist recommendation.
Some therapists require more than others before they'll recommend hormones or surgery.
Some use a kind of weeding-out policy, trying to test your conviction. Some feel they are gatekeepers who must keep people from making mistakes, and require a lot of sessions. Others are much more open or easy-going. If the first letter is from the patient's psychotherapist, the second letter should be from a person who has only played an evaluative role for the patient. I say this because too often I hear people say their therapist isn't being responsive to their requests.