Quote Originally Posted by Cleretic View Post
So taking a different approach than 'what options would literally exist in-universe', I do want to say that, in my experience knowing and meeting plenty of people who write or play trans characters in roleplaying or fanworks, most of them actually do just go for the medicinal option. They parallel actual real-life hormone therapy rather than picking a fantastical approach.
As someone who isn't trans, I didn't think about that since I see a lot of posts on social media have people wishing they could magically change themselves to be who they want to be. But honestly, I think this is still a viable option. Science has advanced far enough in Sharlayan and Radz-at-Han that master alchemists can extract and/or manufacture individual nutrients for use in medicine and food. It's entirely possible that some alchemist has developed a process to produce hormones for HRT in case someone needs it.