Reposted from t'other thread as I posted in the wrong place - joys of mn'ing on a phone lol!
I don't think, in reality, that we really know enough about the root cause of trans identities and it concerns me that we willingly tackle it with such invasive surgery without that understanding.
There are a lot of different narratives around how trans people feel. In the earlier days this tended to centre around the born in the wrong body narrative which I will admit doesn't make sense to me personally because I don't believe in souls or spirits so I don't think you exist independent of your body. But I do accept that there are individuals who feel that way but I feel like it probably comes from a similar place to body dysmorphia type issues : yet, we don't tell people who believe they have an extra limb that they're right and remove it surgically, nor do we agree with anorexic people that they are fat and perform liposuction or gastric bypasses on them. I hope one day that we do find the root cause of this, I suspect it will be found to be an imbalance in the brain of some variety rather like many mental health conditions.
But there are also a lot of other issues now sitting under the trans umbrella, people who don't really fit the wrong body narrative. That includes people struggling with their sexuality, people who don't identify with the expectations of gender and so feel they must be trans, autogynephalic men, people who would previously have been cross dressers, and a number of attention seekers and misogynistic men who probably don't have identity issues at all.
Trying to find a single approach which is appropriate to all of these groups is a big part of the problem. Many people think only of the first when they think of trans issues and so understandably feel great sympathy and don't feel threatened, but aren't aware of the other groups which range from utterly harmless and gender stereotype challenging through to downright threatening to women.