I don't know if this add was supposed to be humorous. How would you portray a transwoman in the media and make sure everyone knows she is trans? If she's really passable, then it's not really obvious and the commercial might be confusing. It is unfortunate that drag and trans are very much associated. But when you boil it down you'd have to educate everyone to the point where our position is commonly understood in order to make a more accurate ad.
Seeing this I saw it as saying, "Yes you may find it unpleasant but there are those who would kill to go through it so please stop complaining." or if you want to be really insensitive, "Suck it up bitches, these peeps would stab a mofo to have what you have." It may not have been ideal, but I do think it's a small step in the right direction.