Waltham,MA has had this type of thing for many years,including their very own retail store on a main street.
The Tiffany Club is there.
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Ah hah! That explains it. I was in a restaurant in Waltham a while back and saw 10 or 11 men dressed as women having dinner. They weren’t trying to draw attention to themselves and were well dressed - not flamboyant or theatrical.
I often see men dressed as women in the women’s bathrooms. They don’t look like ‘activists’ and it seems they just want to blend in. They’re definitely not flaunting their dress or male identity.