But, the difference is in how you can spin it. With a full vaginoplasty with dick inversion/oris, you can spin it as "we're helping these trans people with healthcare they couldn't get otherwise and helping them transition to live their best life", which looks positive, looks like you're showing respect to the people, and makes it so the only people who could disagree are...well, people who hoped they could game the system for an anime harem locked in with them, so you look like the ones who care about trans rights.

An ori, on the other hand, takes this affable nature away from it and is positioned as "you're castrating trans prisoners", which is a far, far more barbaric look to the layman.