Well, one reason I just stick with genderqueer is that current technology can't offer anything that I would value at a cost I could afford, and that's something I can figure out easily at a glance, so I know not to make that mistake. Not everyone is that self-aware. And some people really do have the kind of issue that can be fixed with what's available, and they should have that opportunity. Trans identity is the ultimate "one size does not fit all" issue. The main thing I keep thinking, however, which applies to all sides of the argument, is this:
"For if that which you seek, you find not within yourself, you will never find it without."
EDIT 12-16-15: ng_moonmoth has written a post inspired by this one, with further insightful discussion of these gender issues.