Transition is the only proven effective treatment for this particular brand of "confusion" as he calls it, so even his ignorance that it is a medical condition doesn't change that he's suggesting surgeons go to prison for increasing their patients' quality of life. The comparison to abortion is baffling. Abortion and SRS are two procedures with presumably no impact on this guy's life, and he doesn't want other people to have access to those procedures, but other than that what do they have in common?