DH's sibling has just come out as a man. She is 26 and autistic, lives at home with mum, spends life on the Internet, got kicked out of school at 16 etc etc She has plans to go overseas and transition in germany where apparently you can get surgeries on the public health system while living with her grandpa. Her mum is fully supportive of this.
How should I react to all this. Should I start referring to him as my brother in law? What usually happens after people come out. I assume they progress to hormones and surgery but honestly based on what I read, Germany is quite resistant to health tourists who never paid in even if they are citizens. Are people really happy identifying as another gender when they wouldn't look like the other gender?