However, I don't see what is to be lauded or congratulated about anyone getting elective cosmetic surgery for any reason whatsoever. Cosmetic surgery is surgery which is not needed to maintain an otherwise healthy body. Much as I agree with your idea of cosmetic surgery, I've spent 20+ years supporting a friend through his surgeries (FtM). Whilst still 'she' she had to make some very hard decisions, knowng that once started she couldn't turn any of it back, that she would lose a lot of time, money and her long term girlfriend (who had always said she couldn't support the whole transformation).
His coming out at work was dealt with by the big boss, very matter of fact. He has a GRC. His final surgery was one of the most harrowing things I have supported anyone through - though the tales he tells of it now are all humerous!
He is now married, to my ex boss, female, never gay, and happy with his body, his life. But he knows he is female... just lives a male life.
Which is what got me pondering how that definition isn't acceptable. Is female living a masculine life? But I do that, if you go by stereotypes, and I haven't any desire to be a man!