It was a shower room, having some element of nakedness in a shower room is understandable. Ive not read the reports fully, but if they worked on an infectious diseases ward having a shower post shift is mandatory. If they were told to use the female communal shower room, it was bound to happen.
However, that female shower room should 100% be a protected space, and if this person was pre surgery, they shouldn't have had it suggested they use the female communal space. I understand they might have felt more comfortable outside of a male shower room, but that doesn't mean the rest of the females using the communal space should be impacted.
Other than creating a 3rd safe space, I'm not sure what the solution is here. The notes are disgusting. People should be allowed to live their lives how they want to - provided its not negatively impacted someone else in a way that doesn't just stem from their own prejudices. But trans rights should also not be at the expense of womens rights.
I just don't know.