She's right.. and wrong. For an external observer, the life of a male within Western society that follows the dot-by-dot presumed roles and life patterns will go off generally without more than minimal irritations, start to finish. But the external observer can't see the internal struggle, self rejection, and depression; at least not till it strikes out and someone dies or is seriously harmed; then its just written off as criminal action or mental illness(suicide).
It never occurs to the observer that had the MaaB chosen to acknowledge and make some accommodations for their brain's gender, that end desperation or resigned regret till her dying days would never have occurred.
If someone is trans, there is no avoiding the consequence; there is only the right to choose between inevitable consequences. I'm very happy I chose, even as late as I did, there may be limits to what I can be as a woman, but I can be comfortable in my head, and my body can provide some sense of "being ok, if not perfect."