Interesting persuasive comparison! I’d like to weight in here.

1) people like to judge, and hate celebrities, and will make up an excuse to do so. Especially successful ones, like Madonna. Randomly hating successful celebrities is a thing.

2) people should be allowed to do whatever they fuck they want with their own bodies, period.

3) women and girls are constantly dealing with the extreme expectations and beauty standards that our culture projects on us, and it leads to some really serious mental health issues. Women are fighting back against that’s, rebelling and accepting their bodies the way they are. Many women often project this fight into other women who are doing what they please with their bodies, like we are with Madonna, she is being used as a symbol of someone conforming to societies horrific standards of beauty. But I doubt Madonna is judging all of us for daring to age, she probably supports each woman doing as she chooses. She is being used as the scapegoat (celebrities often are) for the pressures we women face to stay perfect.

4) The gender affirming surgeries are there to treat gender dysphoria, which is a very painful experience. That is something trans people experience and needs to be recognized.

5) cis people also have their reasons to have cosmetic surgery and that’s okay, let’s stop judging each other.

I feel like the above 5 points are all interweaving in the topics you bring up.

I myself suffer from lipedema, which sadly has destroyed the appearance of much of my body. I feel horrific dysphoria at the large deposits of fat that disfigure much of my body and hurt me. None of this is represents me, because I live a very healthy lifestyle, extensively exercising and living on a very healthy diet, but due to this disease of lipedema, my hard work and disciplined lifestyle will never show on me. This is devastating for me, and insurance won’t cover treatment, pretty much saying I’m just being vain for not wanting to be this large and disfigured.
I feel body dysphoria, and feel I should have access to treatment for my lipedema. However, I want to state clearly I don’t have gender dysphoria, and what I experience is not the same as the pain trans people deal with. I am still considered a woman, though a very fat one, and am not misgendered. My dysphoria is around my body, but my voice, my name, my social status, and other areas of my life still scream the gender I identify as, so my dysphoria is a fraction of what trans people face. They are different experiences, but that doesn’t mean I don’t experience my own dysphoria, or my experiences equate to that of trans people.

However, I do feel I should be entitled to treatment for lipedema, which is the us is not covered and is very expensive. We women with lipedema are pretty much just victim blamed and told to diet and exercise to slow the disease. We deserve treatment as the disease does take a physical hold on us. Furthermore, the body dysphoria I experience often does lead to suicide and other problems, and is very painful for people like me.
I hope that the breakthrough in trans people receiving coverage for their surgeries can help pave the way for people like me with medical conditions for lipedema. I hate the dysphoria I live with, no one should have to accept this, including trans people who are surrounded in it in more ways. I hope to ally with trans people and we can bring each other up, by understanding our differences (not assuming I know their experience) but empathize and raise each other up.