Good.
I worked in a fairly large clinic (office assistant type stuff) and always wondered why the top-surgery patients looked so much “better” than the mastectomy patients. Finally I asked one of the doctors, and he explained that top surgery is quite different than a mastectomy, with different protocols and goals and results.
Someone with training and experience performing mastectomies can’t just step in and do a top surgery.
I got into a very strange argument with a relative (who doesn’t know any trans people -at least none they are aware of). They were absolutely convinced that ANY man is better than ALL women at all things. Athletic, intellectual, creative; men are inherently better at all of it.
Therefore, in their mind, anyone who was a man/boy at any point in their lives will be better at everything than a cis woman ever could be. So trans women will always dominate no matter what.
The profound misogyny at the base of their argument was flabbergasting.