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?
What’s the difference between a cis woman with small boobs getting a boob job, and a trans woman with small boobs getting a boob job?
And between a cis man with big boobs getting them removed, and a trans man with big boobs getting them removed?
I agree your examples are very different issues. Comparing a micro penis to bottom surgery is kind of unfair. Let’s compare total penis reconstruction after injury (phalloplasty for cis men) to penis construction (phalloplasty for trans men) instead. It’s the same procedure and it serves the same purpose, to create a penis for a patient that doesn’t have one. Is a cis man that lost his penis in war body dysmorphic?
The difference is that one has gender dysphoria, the other does not. So although the operation is the same, it is not gender affirming care, because gender affirming care is by definition for people with gender dysphoria.