TRAs typically argue that transpeople have dysphoria which gives them painful mental discomfort from being misgendered or seeing themselves in the mirror as the "wrong" gender (this doesn't account for all TRAs but that's a different topic). In order to reduce supposed mental pain, we must avoid misgendering trans people.
What are your thoughts on this? Is gender dysphoria real? Does it justify making people use preferred pronouns? Is cosmetic surgery necessary for some to cure dysphoria (and thus considered healthcare)?