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The definition of what a gender entails should be vast enough that people don't feel the need to reaffirm it with drastic medical intervention with major health risks.
Let the men wear skirts and the women go topless.
Yeah, I'm not sure that you understand what trans people experience. The core issue, at least for a number of people, is not about wearing a particular article of clothing or not, it's that your body is wrong. That doesn't even get into matters of neurochemistry; T is awful for many trans women and E for trans men. Telling people it's okay to wear a skirt or go topless isn't going to help with that - for trans masc people, going without a binder would be significantly worse. Medical intervention is merited in cases where people want medical intervention. If someone wants medical intervention, and the research shows that said intervention is the best treatment for people who want such intervention, why would we not want to give said person said intervention?