I appreciate the well-thought-out and detailed response. It reads like the manual of things I went through learning bit by bit over the 11 years I spent repressed. I've been through most of it at this point. The hair's getting there and my very affirming salon appointment is in a few weeks. My makeup skills aren't amazing, but I can handle everything but contouring and eyeshadow now. My voice therapist actually discharged me after 3 months because she said I'd exceeded her skillset. I'm not happy with where I am but I pass vocally. I have a decent wardrobe for casual situations that's strongly femme-presenting and I like my jewelry. I am excellent with manicures. My spouse has commented on how good my nails look, especially since I chewed them raw for 30 years.
All of that to say that I'm comfortable with everything except my face. I'm partway into laser removal, but I am still very blocky and have the worst caveman browline. The widows peak isn't helping. But my biggest concern is mostly safety. I'm in a rural area full of literal card-carrying MAGA nuts who roll coal. I was already the odd one out with only electric cars in the garage and moving to native plants instead of a lawn, but if I go out as myself I would be putting my spouse in danger. It's ironically easier to do when I'm further afield from home.
I guess the things I'm really worried about are being myself and finding ways to do that in spaces where I'm not really safe.