First, it started with people saying cis women getting breast implants was gender-affirming surgery and at least that kinda made sense on the very surface level. Now people are claiming all plastic surgeries are gender-affirming which made me check whether this was some orchestrated trolling effort. Doesn't seem like it.
Here's the tweet .
I mean I wouldn't characterize all plastic/cosmetic surgery/procedures being about gender but yeah just in terms of numbers yeah it's cis people getting procedures to make themselves more masculine/feminine.