The Anglosphere is generally the best bet as they have the best gender affirming care. Europe is mostly shit, Spain, France and Germany seem to be the better countries here, but e.g. the surgical coverage in Europe is terrible compared to blue US states and some European countries are equivalent or probably even worse than some of the red US states in terms of trans rights and gender affirming care.
From what I've heard the UK is quite awful. Canada, Australia and New Zealand seem to be decent with Canada probably being the best of the three.
