I think part of my hopelessness is that I am realizing hrt has not done anything to my face, I figured this out since I am still pretty recognizable. the only thing hrt has done for me is give me boobs, which usually results in hey dead name, you should loose some weight when i am recognized in public. I just feel hopeless and I want this nightmare to end.
facial feminization surgery can be very effective but it costs money (like many quality of life things)