The story of the woman who accomplished this is pretty interesting. Maryam Khatoon Molkara wrote a bunch of letters to the Ayatollah Khomeini asking for advice with her dysphoria. He told her to dress in woman’s clothes and encouraged her transition. Learning about her can be the positive part of this story - one person was able to improve the situation for people like her.

As others have pointed out, it’s not really a win for queer rights on the whole - you can transition from one set of strict enforced gender roles to another. You can’t be gay/lesbian. It might be coercive and fixing the distress of having the wrong set of hormones in your body is kinda the point of HRT.