No of course no one should be coerced/ pressured into surgery
Japan is a very very different culture. There are other issues as well
What about Iran? Option there if you're gay or lesbian is transition including surgery, or be put to death.
www.bbc.co.uk/news/magazine-29832690
In fact in many countries it's whether by law or by society that being gender non conforming/ gay or lesbian / present as opposite sex will result in imprisonment/ brutality / death.
Out of interest what are trans orgs in the UK doing about this? I must admit I've not seen much but I've only really seen stonewall site etc
Elsewhere in the world there's the issue of women being forcibly sterilised (for ethnic cleansing).
This type of behaviour around the world is obviously a massive human rights issue. I see it all as one thing really, coming from the same place. And I'd prefer to discuss across the piece rather than focusing on one group in one country.