Just like with abortion, I don’t think our government should mandate or ban sex changes.
“Trans” encompasses almost anyone who doesn’t identify with the gender assignment given to them at birth. It is the superset term that includes transgender, genderqueer/non-binary, agender, and other individuals who are disagree with their “assigned gender at birth” but refuse to get a sex change.
More than mere gender variance, being trans leads to a condition known as “ gender dysphoria”, where you were born one sex, but wish to live as a member of the other.
Unlike the majority of “trans” people, I believe you have to suffer gender dysphoria and undergo a sex change, a view often called transmedicalism.