People are who they are supposed to be. if you are not comfortable in your own skin and how you look on the outside whats the point of living day to day life if you're unhappy. People don't get that. When changing their body parts or making their appearances to appear as another sex they are only trying to show the world who they are really supposed to be.
I wish stuff like this would happen to me when I get misgendered. Sadly, most of my friends won't use my pronouns (they forget and I'm too nervous to correct them.) Only two people (my best friend and my ex-girlfriend who I'm still good friends with) actually use my chosen name and pronouns. I love those two to death.