Put all of that life-saving surgery on the back burner, because there is the issue now of womb transplants:
https://www.dailymail.co.uk/news/article-6685681/Leading-British-surgeon-calls-transgender-women-life-changing-womb-transplants.html
“A top British surgeon has called for transgender women to get life-changing womb transplants so they can have children of their own. It comes after doctors in Brazil delivered the world's first baby from a womb transplant that was given to a woman from a deceased donor last year. Now surgeon Christopher Inglefield, founder of the London Transgender Clinic, believes transgender women deserve a uterus implant. He says the procedure is 'essentially identical' to the one performed on women. Dr Inglefield, who appeared in ITV's Transformation Street, told the Mirror: 'This pioneering birth is extremely important for any trans female who would like to carry her own child. 'Because once the medical community accept this as a treatment for cis-women with uterine infertility, such as congenital absence of a womb, then it would be illegal to deny a trans-female who has completed her transition.”