Abstract
Objective: To analyze the therapeutic itinerary followed by transgender men in the transsexualizing process by the Sistema Único de Saúde (SUS) offered in a care service for trans people in northeastern Brazil. Methods: Qualitative study, of the case study type, based on semi-structured interviews with tweve transgender men who accessed the transsexualizing process. The study was approved by the Research Ethics Committee. Results: From the narrated therapeutic itineraries, the empirical categories emerged: the construction of the gender identity of trans men; the appropriation of the transgender universe; and access to the Transsexualizing Process itself. Self-recognition, the construction of gender identity and the support network of trans people preceded the search for health services and access to the transsexualizing process. Private and public services and self-hormonization with the help of the internet were part of the interviewees' therapeutic itineraries, permeated by the waiting time. Conclusion: A restructuring of the micro-politics of services is suggested, in order to minimize the wait for access to the transsexualizing process in the Unified Health System, also aiming at extinguishing barriers that limit and hurt the autonomy of trans people.