I don't think anyone is promoting Fionne's surgery. If anything, I'd say people are sad that it's come to this but given that it has, hope he recovers well.
I'd lament the need for a woman to have a mastectomy, whether because of cancer or as a trans surgery. I would hope her recovery was good, whatever the reason for the op.
I wouldn't lament Samphire having surgery, but lament the time she had to endure while her body became less and less fit as a result.
There is inequity that should be commented on, in Fionne getting surgery while Samphire did not- and it's a feminist issue.
I wouldn't be interested in the operations of your ex, Tinsel, as I don't know them in any way. I'd listen while you complained about it though, if you needed me to.