I don't know how that shakes out with the latest Supereme Court ruling. But my opinion is, if gays want transgender surgery that they pay for themselves, or with their private insurance, whatever, it's a free country. It's not something I agree with, but it's their right as private citizens, and private insurers.

But if they want transgender surgery paid for on the federal tab, that's another story, and shouldn't happen.
Especially offensive is gay/transgender criminals who are in prison, and are pushing for transgender surgeries paid for on the state tab, paid for with the tax money of the people they victimized.
Likewise, transgenders in the military should not have a ticket to free transgender surgeries. That policy incentivizes gay transgenders to join the military, just so they can get free transgender surgery, that they could not get if outside the military.