It's not that I see "nothing" but a girl, per se, especially since she portrays well what can be stereotypically seen as masculine (down to the Adam's apple, whoever did the surgery and treatment was very detailed). However, if I hear someone say he's "trans" something, I just think the opposite. In this case, I see a young woman who decided to match her body to her mind, rather than her mind to her body, regardless of reason (dysphoria, trauma, trend, desire, etc.). And I like to at least try to be somewhat open-minded. ;-)
Yes, I do see a common denominator. Dysphoria. If someone is born with a different-gendered mind, I would not say it's their fault. It's what they do with that that makes a difference. Some people have dysphoria about their bodies, but it's up to them to get the proper help to help readjust their mind. So a man has what's considered a woman's mind. So what? And the same can be said of a woman having a man's mind. It's easier to work with the mind than against the body. Same thing with one-armed people, no that's not their fault. Birth defects are not their fault. And it's also their choice to either work with the one arm or get a prosthetic (yes, I know not everyone can afford it, and I do believe more charities -- the more localized the better -- should be available to help out people for this kind of thing.)
However, being born with a missing limb can't be fixed with therapy... it's not a mind issue. Dysphoria of any kind can be (not always, but it's very helpful). Working against biology does not seem like a viable solution to me. I think we're probably going to agree to disagree here, but I'm cool with that.
Can I just say how happy I am to have had this conversation, by the way? I hope you have a great weekend.