Until now, transgender employees could take up to 13 weeks of special leave in a rolling 12-month period for medical treatment and recovery related to gender identity without it being counted as sick leave.
The objection as far as I'm concerned is that I don't think anybody should be having surgery for a psychological issue, and providing this very generous paid leave makes it more likely that some civil servants will go down that path. Looking specifically at surgery on the genital area, there's a high risk of post-operative infection and complications, and the end results are really nothing like the real thing. If I ruled the world all that surgery would be banned.