The trans movement is not biology. It is not science. It is called sexual dysphoria. Instead of surgical sex, the remedy is mental treatment. The surgical sex is like the surgeon in England who amputates the legs of patients who claim to find sexual excitement in gazing at and exhibiting stumps of amputated legs. The price of such surgeries brings in a hefty pile of money—a source of excitement for those who perform such surgeries.
Medical intervention on healthy bodies is a travesty. I wouldn't even undertake a facelift without serious consideration of the possible risks. And I sure as heck wouldn't insist that it's medical care, so other people need to pay for it.