I meant that this issue didn't start because people changed documents. It started with people hating their bodies and surgically altering them. Until about 5 years ago, most people would assume a trans woman was someone who had felt dysphoric enough that they needed to have surgery.
Then the issue arose that people who had had surgery weren't exactly male anymore, often wanted to marry male partners and were worried about having M on their driving licence but presenting female. So countries said "people in this situation can change their documents." Often this was easier than allowing same sex marriage, which is totally messed up, but here we are.
Now we have a situation where it's all about the documents, it's all about how other people see you, pushing legal boundaries and not at all about changing your body or even being dysphoric (it can be, but not always, the recognition is now the main aim).
It's disingenuous for reporters to pretend the conversation started with "so some people want to change the M/F on their birth certificate, what hoops will we force them to jump through?" It was the other way round "some people are altering their bodies, will we recognise this on their documents."