Let’s say I, a middle aged cis man went to my doctor, wanting gender affirming care, and my doctor wanted to provide - what, if anything, would the treatment/care consist of? Just making sure my testosterone level was up to Hegseth-approved standards?
how is it different if you have to take medication/surgery to do so?
It’s not the surgery that makes it different, people also have penis enlargement surgery, it’s still not at all similar to having gender dysphoria.
Gender affirming treatment is a specific term for people who have gender dysphoria, so without that you can’t have gender affirming care. It’s like saying a sprained leg and a broken leg is the same, when the underlying problems are very very different.