Here in South Australia, there are many issues for people transitioning medically, as well as legally. First off, we have only one (widely known) psychiatrist (approaching retirement) that is comfortable with referring people to endocrinologists. My mum wanted to be sure that I was 'actually trans', so she referred me to a psychologist that probably didn't have any experience dealing with trans people, so it took even longer.
There is no informed consent in our state, so you must be living 100% as woman for at least a few months, not to mention the huge waiting lists that now approach a year in length. It sucks even more if you're really dependent on your immediate family for emotional and material support, since you can't move interstate.
It's even more crappy if you're not comfortable seeing the psychiatrist or the endocrinologist, like many of my friends.
I feel relatively safe in that regard, as I fit into the gender binary and femme-presenting.