They don't seem to have heard of women with female bodies.
I used to work as a gynaecology nurse. On the ward, women were treated for reproductive problems - infertility, serial miscarriages, ectopic pregnancy, missed abortion. Women were treated for sexual health problems - unwanted pregnancy, hydatid mole, endometriosis, some STIs (sexually transmitted infections). For uterine/ cervical/ ovarian cancers, for excessive blood loss at perimenopause, for uterine polyps, for ovarian cysts, for uterine / bladder prolapse. Anything related to or involving the female reproductive system that might require treatment - not normal pregnancy or birth, that was done in the birthing centre.
The gynae ward was where women were treated. Not men. Not trans women. It wasn't a plastic surgery centre or a medical ward or a psychiatric ward. It was very busy, and the need for the service was high.
I understood what, and for whom, gynaecology was. It's not possible to redesign people and rid us of our sexed body. Sorry to disappoint, Espace Santé Trans.