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And ironic criticism of his proposal, given your preferred solution leaves you no better off in that regard.
How so? The changes from hormones and surgery are real, felt by your body, and perceived by others, instead of being an audiovisual illusion that only you can see. The parallel would be like having some sort of moderately advanced but not perfect prosthetic arm, versus superimposing a CGI limb that no-one else sees, and that you can't use for anything since it's just pixels on a screen.
Do note that I have a somewhat transmedicalist point of view, which is different from the mainstream leftist view or what conservatives call "gender ideology".
You'll never have functional genitals of the sex you desire, you'll never have children in the manner of the sex you desire. It's also difficult for me to distinguish the average trans person trying to "pass" from any other plastic surgery addict for whom nothing is ever good enough. They're always getting something done.
Can you honestly say that nothing about your current existence doesn't remind you that it's a lie?
"Never" is a strong word when it comes to technological progress, uterus transplants exist and egg cells could be made from stem cells.
How is my current existence a lie? I'm very aware that I'm not biologically female, but my male characteristics are causing me pain, and I can correct them and have a superior quality of life. After transitioning I became functional both romantically and sexually, and much less prone to anxiety, depression, and despairing over my physical appearance. People close to me know I'm trans, and I don't particularly care to correct strangers about the pronouns they use with me.
Body dysmorphia is a tragic thing and often co-morbid with gender dysphoria. But you can absolutely reach the point where you pass in your daily life to average people, and then reach diminishing returns.
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