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For one thing its trans activism which reinforces gender stereotypes. It's the radfems and so called TERFS who advocate for gender non-conformity.

Difficult-to-categorize individuals have always been among us, that's how nature works, its all about gradations away from clear groupings, but categories like cis, queer, trans, even non-binary, etc., are just boxes created by academia, ideologues and politicians. They are mostly truncated versions of genuine permutations resulting from the nefarious powers of capitalism, consumerism, activist culture, identity politics and liberalism and are impediments to creating cultures of resistance or freeing individuals to lead passionate, self-fulfilling lives that might threaten bourgeois civilization or disrupt any sort of normalcy...

I just read an article by an indigenous historian asking trans activists to stop claiming that two-spirit meant trans in the sense used today. Historically people might have been two-spirit while they were young and then not at all later on or vice versa. The concept had little to nothing to do with 'feeling like you are in the wrong body' or ' i am literally a female in a male body' sort of thinking which leads to a medicalising and pathologizing of what is a normal exploration/rejection of culturally given expectations of behaviour. Two-spirit according to this historian was meant as an opportunity to be freely self-creating throughout one's life, not permanently altering your body to fit a stereotype of what a woman or man is supposed to be.

Industrial drug companies, high tech labs, universities and research centers by definition wouldn't be around post-civ. This means looking at social rather than technological ways/means to address our needs and desires. So if you believe that a 'woman' can live in a 'male' body (or that there are no male and female bodies but there are 'woman souls/brains and man souls/brains that live in these sexless bodies) and want to speculate about what a green anarchist future might hold for them, then you should wonder what 'trans' might look like in a world without cities, hospitals, labs, big pharma, universities, i.e, without the ability to medically transition.