As always, they try desperately to link legitimately surgical procedures to their cosmetic mutilation horrorshow. They willfully ignore the fact that a tumor or tonsillitis will, if left untreated, kill the person who has them. But not only single person in the history of humanity ever dropped dead as a result of unperformed transition surgery. These comparisons are both dishonest and grotesque, designed to work on emotional responses instead of actual logic and reason.