If gender is a social construct, do trans people actually need the transition surgery or do you think its just a cosmetic surgery like breastimplants?

if gender is a social construct, then is the transition surgery somehow more necessary than other cosmetic surgeries, like for example breast implants? It would also mean that those who use the men can't get pregnant, therefor men should not have say regarding pregnancies arguments wrong, right?

If gender is a social construct, do trans people actually need the transition surgery or do you think its just a cosmetic surgery like breastimplants?
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