I don't have personal experience with this. (I think it might be a question that would best be asked on one of the transgender forums on the web.) I would say the Twin Cities in Minnesota is very LGBTQ+ friendly in general so I presume that would include transgender. And the laws in the state mostly support LGBTQ+ rights. Once one gets outside of the Minneapolis / Saint Paul metropolitan area, I'd presume the support level varies as it would in most states.