Not quite as catchy as Leif the Lucky but equally true. I was lucky to meet and become friends with a community activist just as I was admitting who I really was. My fiend was also just setting up a support group up for gender queer people which did much to help me through the early days of my coming out. he helped me find a trans friendly therapist and trans specific health care. All of whom believed in agency and did not make me jump through hoops to access the medical services I needed.
So yes I have been incredibly lucky to have avoided the gatekeepers that so many of my online friends have had to put up with. Many of these gatekeepers are petty tyrants who just want to keep the trans people they deal with under their thumb. Others are well meaning but so hopelessly cis sexist and hetronormative that they do more harm then good. Yet others are just clueless beaurocrats who are just going through the motions and following outdated policy. Basically the gatekeeper model is a broken system that needs to be totally replaced. I am damn luck to have avoided ever having to deal with it.