This is why GRS or SRS should be outlawed.
Unnecessary surgeries are totally unethical and can be considered human rights abuses.
"Libertarian" "arguments" about "choice" don't cut it when this kind of thing destroys lives. Of course few of these dudes in dresses can stay in "marriages" with straight men because straight men don't like being lied to. I don't know how these men would not know these dudes in dresses are dudes and not women. But that is another issue altogether.
You cannot treat a mental disorder, let alone a sexual fetish, surgically. It doesn't compute.