>gender-affirming surgery
It's cutting off dicks and sewing tissue from arms or legs over your vagina, don't try to make it sound like some sort of promising modern medical procedure. Same thing for all other plastic surgery, nobody should encourage or support that ever and a doctor who does is violating the Hippocratic oath.
Have sex with whom you want, put on whatever clothes you want, paint your face or don't, call yourself whatever you want, but do not cut off your dick dude. Anybody who believes this would be the right thing to do obviously suffers from some kind of delusion and is not capable of making decisions by himself