It is a truth not so universally acknowledged that pretending men who think they are women are actually women is a farce. Male bodies are not at all the same on both a micro- and macro-level. Their genes are different. Their hormones and chemicals are different. Their bone and muscle structure are different, their organs are different, and their psychology is very, very different. These are all truths that should not have to be repeated.
I generally call surgically altered males who think they are women “extreme cosplayers.” Because that is what they are.
In a sane world, this would be pretty harmless. Who cares how Joe/sephine wants to live his life? I don’t, really, so long as I’m not forced to hear about it or modify MY behavior to conform to his version of reality. It doesn’t harm me when he wears 5” killer heels, or that his closet has better dresses than mine. I simply don’t care.