Earlier quoted context omitted.
He said that he's on "team TERF" and compared being trans to wearing black face. It's not "manufactured", there are a lot of people upset that he's punching down against a vulnerable community.
> compared being trans to wearing black face He also compared transwomen genitalia to vegetarian meat substitutes (Impossible Burger and Beyond Burger)
In fact, he warned against the use of the surgeries at all because of the questionable results. [1]
There's thousands of pieces of anecdotes in various trans subreddits focused around surgeries, but I won't link them because they're very disturbing. They're easy to find if you wish.
[1] https://news.yahoo.com/transgender-doctors-warn-against-sex-...