Of course they are male, if you think having surgey and drugs changes anything then your opening a whole can of worms.
lets look at cryptids for example are we now to declare that those Victorian taxidermies of mermaids etc where they have stitched a monkey and a fish together are real mermaids because of a unnatural intervention? scientists made a fake cerberus that lived quite sometime by sewing a dogs head onto another dogs body so it had two functioning heads, does that make cerberus real?.
plenty of women have FGM and boobs removed by surgery, doesnt mean they are not women anymore, just as men who've had their testicles removed due to cancer are still men.
the hormones and drugs are to prevent the body reverting to its natural state, its all a fight against nature, without those superficial medical interventions they would just be a man in a dress.
so basically transness isnt about physical reality at all, its about what you say you are, as shown by the GRA you dont have to have any hormones, surgery or anything to claim to be the opposite sex, you just have to live as them for 2 years, but then what does living as them mean?, how does my life differ from a man in any way other then fashion and the constraints society puts on me for being a woman, which coincidentally includes fashion, the only part of a womans life or mans that is not based on societal structure is the physical functions of producing eggs or sperm and all tho we can now render ourselves sterile via medical intervention we are not clown fish, we can not change our reproductive function only halt it, . so opting into constraints makes you a woman? the constraints your sex imposes on womens lives to make them different to man and the opportunities and freedoms men have?, how very convenient to have that choice, that's certainly a privileged as is choosing sterility.
also proves the point that trans are not equal, the man to woman has the most privilege and is opting into the roll of the oppressed at will.
the woman to man has less privilege they are trying to opt out of oppression into the dominant role.
the NB is trying to opt out of the roles but will always be treated according to their sex as observed from their physiology.