I honestly believe there’s a whole generation that has grown up so addled with computer gaming, avatars, anime and the like that they actually believe that they can change their entire bodies to look like anything they want. Even if that's a 6-foot cartoon romantic hero with weirdly huge eyes and a massive buff 6-pack and flowing blue locks.
Add in the whole gender movement and its insistence on being given everything it demands, immediately (no debate!) in the manner of a tantrumming toddler, and you can see how and why this sort of thing happens. Reality becomes something they just cannot deal with any more on a normal level. There’s such an air of but whhhyyyy? Why can't I? It’s NOT FAIR!!! hovering over that whole article.
And of course, into the breach come the 'gender doulas', more than happy to part you from your money to explain that yes, poor you, it’s so triggering for you, and yes, reality is transphobic.
Would even cancelling reality be enough to make them happy, though, as being 'trans enough' seems to be a cause of endless grief and worry?