By definition, being trans means you have body image issues. What you see aint what you want to! Pick your attribute(s) to pick on.
A teen member of my group is diagnosed as having BDD, almost to the point of being anorexic. Like me, even though we both dropped at a minimum 50 to 100 lbs, we cannot help but to see great gobs of fat hanging off our bodies. (Which I know is true in my case, just as I am sure she is sure in hers though no else can). Being trans, no doubt there are body and especially self esteem issues, certainly in my case and I suspect hers.