Common Sense

Gender and sex are not the same thing. We use gender to identify who someone is as a person but we use sex to identify a person's reproductive organs. How the hell are these two things so connected. If someone wants to identify themselves how they want, what organs they have should not be a deciding factor.

Then what is gender affirming surgery?

It's for people who have decided that their reproductive organs do play a role in their gender identity

They are the same thing. Nowadays y'all decided you were gonna take out your organs and add different ones.