This is not a popular opinion I have but i really dont think trans people are being helped by surgery or hormones. I mean gay people can exist in nature and as long as societies leave them be they can live normal lives. Trans people would have never been able to exist prior to the advent of medicine or hormones so any people in the past probably found other ways of dealing with their feelings. I really think that it would be easier to bring their body and self perception in line with each other than to chop off body parts and pump them full of hormones to try to address what is basically a mental illness