The issue isn't can they change their genitalia it's the aftermath when they realize it doesn't magically change their lives or other mental health issues, it doesn't make them instantly desirable and feel worthy of love. Especially transwomen who base their idea of what being woman means in absolute fantasy. It's like being obese and fantasizing about being a model instead of just your self at a normal weight.

They're going through these complicated surgeries that cost thousands of dollars, time they can't get back, so much pain in dilation, scar tissue, ruptures, medications... and only finding more things they hate about themselves after the surgery because the problem is their lack of self-worth and acceptance not if they have a dick or a vagina.