The new law that bans gender-affirming care for minors also mandates that adult patients seeking trans health care sign an informed consent form. It also requires a physician to oversee any health care related to transitioning, and for people to see that doctor in person. Those rules have proven particularly onerous because many people received care from nurse practitioners and used telehealth. The law also made it a crime to violate the new requirements.
Another new law that allows doctors and pharmacists to refuse to treat transgender people further limits their options.
Using the word butchering to describe gender-affirmation surgery is transphobic language. You wouldn’t use it to describe breast reduction surgery or facial reconstructive surgery, so you are, in fact, using transphobic dogwhistles.