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?
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.