Some male to female transexuals hate their own penises so much they want them removed, becoming infertile, at risk of never having an orgasm again, or sex that isn't painful, ever again. Neovaginas are essentially wounds that must be manually kept open, least they shut. It astounds me this is considered ethical from a medical perspective, and in my opinion is akin to removing a persons eye, because they insist they've sinned and God said "if thy right eye offend thee, pluck it out", or letting an anorexic starve themselves to death, because they're convinced they're fat. I'm agnostic and not convinced that humans have souls, but I do think it's impossible to have been "born in the wrong body", which is quite different from being told "you should have been a girl".
Others love their "lady dick" (to use the vernacular), and sometimes using it, to the point of obsession? Social media (and the internet generally) is awash with men who demand to be called women, posting naked pictures that show very clearly they are biologically male and not female, and do not have a problem with their male reproductive systems, arguing that having or penis or not has nothing to do with being a woman... Actually, the only thing that makes a male or female such, is biology and reproductive capability. That's a scientific fact.
Gender is a socially impossed construct, a persons personality might sadly be hindered by often riddiculous gender stereotypes (like that men shouldn't wear make up or dresses, or certain colours/ patterns). Transgender implies that gender is the problem and not biological sex, but if so why insist they too are female, instead of embracing being a male who is who and what they are, who likes what they like.
How can one "feel" female, when one has never naturally had the hormones etc of a female? A man may want to "feel" female, maybe even desperately so, for whatever reason, and persue hormone replacement therapy in the hopes that might help. But even with drug therapy (which is ongoing and life long), they will still be fundamentally male, if they had a heart attacks, they'd still be more likely to present with male symptoms. Without hormone therapy, their high level of testosterone (and very few transgender men have a naturally low testosterone level), will still make them more naturally aggressive, and prone to male crimes (sexual assault, mass shootings etc).
I think, when discussing this topic, it's important to keep in mind that there are many seperate issues at play here, body dysmorphia, fetishes such as autogenophillia, exhibitionism, voyeurism etc.Who any adult decides to consensualy engage in sexual activity with is a private matter, but when adults with functioning penises (men?), demand entry into womens spaces, such as changing rooms, female prisons, domestic violence and rape crisis centres, to name a few, sexual orientation becomes relevant, and as there's no possible way to tell for sure who's homosexual and not a threat to women. Until now all men have been denied access to these spaces, for womens safety. Women in prison are especially vulnerable, and at extra risk keeping in mind that 50% of transgender prisoners have been incarcerated for sexual assault/rape.
The pandering to these men, risking the safety of women and children, has, in my opinion, gone far enough. Many of the men who have genital reconstructive surgery, go on the commit suicide, they're so unhappy with the results. Someones friend or loved one, gone, because of a lack of awareness and adequate mental health provision. Society has thrown itself behind this cause, with very little actual awareness or research.