Circumcison, uncircumcision and gender reassignment surgery
And wouldn't the performers of such abominations prefer so much that we just left them to their devices?
Iowa governor signs bill removing gender identity from state civil rights protections
The move is the first time a state has removed a protected class from a state law prohibiting discrimination.

Thou that sayest a man should not commit adultery, dost thou commit adultery? thou that abhorrest idols, dost thou commit sacrilege? Thou that makest thy boast of the law, through breaking the law dishonourest thou God? For the name of God is blasphemed among the Gentiles through you, as it is written. For circumcision verily profiteth, if thou keep the law: but if thou be a breaker of the law, thy circumcision is made uncircumcision. Therefore if the uncircumcision keep the righteousness of the law, shall not his uncircumcision be counted for circumcision? And shall not uncircumcision which is by nature, if it fulfil the law, judge thee, who by the letter and circumcision dost transgress the law? For he is not a Jew, which is one outwardly; neither is that circumcision, which is outward in the flesh: But he is a Jew, which is one inwardly; and circumcision is that of the heart, in the spirit, and not in the letter; whose praise is not of men, but of God.
— Romans 2:22–29
Meanwhile nobody would have noticed if men with long hair, women with short hair, people with tattoos and body piercings have ever had much trouble getting or keeping jobs. Most of us see plenty of such people with good paying jobs at every place of work or commerce.
If there is such a thing as “gender-reassignment surgery” to which any human being would willingly consent, I simply don’t believe it.