: Some individuals use a very low dose of testosterone gel locally to maintain tissue health without interfering with their transition. Erectile Aids
: The goal of surgery is to create natural-appearing genitalia that aligns with the patient's identity. Terminology and Respect
The core of this argument is biological essentialism. These groups claim that gay rights are about "same-sex attraction" based on chromosomal sex, while trans rights are about "gender identity." They argue that the two are fundamentally different goals.