Funny how this dystopia was incubated and confined to America.You've obviously never heard of Thailand and their "ladyboys" or kathoey. It has been going on since the 1970's.
The 1980s saw a rise in LGBTQ+-related publications and films in Thailand, a trend that began in the 1970s.
The term "ladyboy" emerged during this era as a way to market these entertainers to foreign tourists. The older sailors informed us new sailors, in the early '80's when I was there, to grab a woman's crotch to
make sure a woman actually
was an actual woman if we intended to bed them.
In the 1980s, breast implants for transgender women in Thailand were becoming more accessible as the country emerged as a medical hub for gender-affirming care. The availability of breast augmentation was part of a broader rise in cosmetic and gender-affirming surgeries, performed mostly for Thai patients, including kathoey (transgender women). The sexual perverts loved the place back then, just like they do now.
You need a refresher course on the issue.