i almost didn't get my FFS because the doc was fussed about my weight (i am six feet tall and 230 pounds. you tell me if that's somehow truly unreasonably over weight) and i am still a little bit like "so explain to me what that has to do with what you're doing to my face exactly"
The gatekeeping of trans women from healthcare isn't seen as medical misogyny for cissexist reasons, even though it's really obvious in some cases---like our fucking BMI being an ironclad rubric that clinics simply will not budge on when we're trying to get surgery.