This so-called issue reminds me of Yossarian's plight in Heller's 'Catch 22'. Yossarian doesn't want to participate in the war. Why? Because people are trying to kill him. However, because he's sane enough to recognize that, he's too sane to be taken off active duty.

There are always twits coming along to decide who is right and who is wrong, as if their opinions--and that's what they are--mean something to the wider world. They don't. The trans-gendered people I have met have made a decision that is right for them. They didn't consult me in the first place so I assume they feel no need to consult me after the operation.

The reference to t-g people as being mentally ill: who asked?