Plastic surgery.

What are you saying, that plastic surgery is gender affirming care, because it is in most cases. Exemptions would be things like a rhinoplasty for breathing impairments, but if done for looks it would fall under gender affirming care.

Where’s the line between vanity and “self-affirmation”? Not a leading question.

Vanity is making sure others like what they see of you; self-affirmation is making sure you like what you see of you.

I’m not sure that’s accurate.