>>508865855 (OP)The meds they take are both hormones and hormone supressors. The moment that there is irregularity in hormone levels, these people will suffer sleep issues, emotional instability, derationalization.... They become quick to anger at their own coworkers, become more sensitive to hurt, they become slower to react, etc.
Not to mention, politically, the only transgenders that made themselves public are those with severe narcissism issues; narcissism as in the behavior, not NPD. (see WHO's definition of dissociality, which at least divides it into 3 levels; mild, moderate and severe, rather than having only a diagnosis for the most severe cases)
The problem is that narcissists are toxic; they literally drain others to protect themselves from critique, for attention, admiration or to gain benefits. They live a selfish and self centered world, which in part is also a fictional world; they pose themselves greater than they are. They're known chronic liars, etc.
Someone like that cannot follow orders. They only follow orders when it conveniences them.
These are the problems I can see at least.
Not every transgender is going to be a narcissist. The problem is more that narcissism is part of the image of the transgender- its political.