Yes, I think there is a lot of social pressure that is driving all of this. I doubt it's only about body dysphoria, because after all you may alter it a bit but still you cannot deviate that much from what you were given in the first place. Extensives surgery procedure seems to be really hit or miss and it is largely impossible to fully rework the features that you were given at birth (especially facial or the pelvis). Some are luckier than others in these matters because they are "in the middle" but still, physically passing for one sex doesn't really alleviate the need to conform to that gender expectation.

I think it's a losing battle because you cannot make people change their minds about who/what others are. The real solution is true acceptance of differences but that seems very hard to create culturally, people are still tribal no matter what.

I am somewhat pissed off by all this gender culture ward around LGBTQ, trans and feminism because people constantly assume I am gay from my physical appearance and demeanor when I am definitely not.

I am dumbfounded around the trans issue because they make it look like they are the only one being socially pressured into conforming to one cookie cutter identity or another. I believe that most people feel that pressure, just to differing levels and only the outlier at the extreme are considered a "true" man or woman.

The political discourse obliviate the fact that we cannot all be that close to what is deemed the "ideal" in the current culture and everyone is worse off for it.