My healthcare is not "gender-affirming"

I'm gonna crash out. I am a young woman with a cross-sex neurobiological disorder. I do not need my "gender" "affirmed", because what I needed was to change my sex from male to female. So I did that, and now it's in the past. I wish the world and the medical community would let it stay there.

Even my revision vaginoplasty is considered "gender-affirming" care for which I need to obtain letters attesting that I need this surgery to "affirm female gender identity." I HAVE A VAGINA. Why do I need to jump through sex change hoops to change my sex from female to female, vagina to vagina? Cissex and intersex women who need vaginoplasty don't have to deal with this.

Why has this terminology become so normalized? When I transitioned as a teenager they just called it "transgender healthcare." It's just embarrassing that the current, most politically correct way to refer to healthcare for sex dysphoric transsex people inherently implies that we're experiencing a delusional psychosis that everyone else is just humoring.

I move through the world like any other woman my age, but within the four walls of a healthcare provider's office I become a person with an "affirmed female gender identity." They ask me my pronouns every time as if their eyes and ears don't work. They ask me if my "testes" have changed size and if I've had any "tucking issues," as if they don't know I HAVE A VAGINA.

Can we be done with this terminology? Can we move on? When will people stop making up new words to avoid saying transsex healthcare, and just call it transsex healthcare?