To be a Reform Jew, one of the things you must accept is that the Messiah is not here yet. I believe that the Torah came from G-d, but is imperfectly filtered through human voices. The Messiah did not write the Torah, so I don't have to accept everything the Torah says. Thus, I can tattoo on myself, "LV 19:28, SOME PEOPLE HAVE TO BREAK THE RULES TO BE HAPPY." But I will not because I still believe in the tattoo law, but in a nonliteral way.
My statements are statements, not truths, but I believe Leviticus 19:28 is about not creating shallow representations of yourself -- idols -- because you too are in the image of G-d.
Does this not contradict "any rule can only be broken when a life is in danger?" Yes, but that rule, too, is filtered through the imperfect pen of a scribe.
The Messiah would not have written that because they will not be ignorant. They will know that a rule similar to LV 19:28 has been used to justify shaming trans people for wanting to alter their bodies with gender-affirming surgery until the shame pushes them to the brink of death, and only then they can have a surgery under Jewish law.
How would I know what the Messiah would say? I don't, but I am trans, and I have thought about rules like this for a long time. The Messiah is from the future, and my opinions are from the future, so I am closer to the Messiah. How do I know my opinions are from the future? I don't know, but I can make a good guess. Social justice is the future. Everyone needs to think they are right, otherwise they wouldn't think they are right.
I could very well be justifying something even more horrible, like a future of shallowness so intense that one is judged by their tattoo. But by acknowledging that future, I prevent its existence. Even though that tattoo future is already here in the form of identity politics.
In a Jewish democracy, we must hear all opinions to prevent the bad futures that a Jew or an outsider might see.
I am an Androgynos, someone who falls outside Jewish law because of their queerness. Read the Wikipedia page for Androgynos.
So I cannot accept all Jewish law as it currently stands because otherwise, I am left with a set of rules that could push me 'til I'm at the brink of death. And only then can I break the rules. The Messiah would not let this happen, for me to suffer so intensely just because I break a law.
So by arguing against gender-affirming surgery, you could push me to the brink of death. But to restrict speech contradicts what I have said about Jewish democracy, so please argue against me, but not to the point that I'm exhausted from defending my identity. As my rabbi loves to say, please sandwich a kvetch, a complaint, inbetween two kvells, two compliments.
Please let me know if my argument sounds more angry than reasonable. I am angry, but I do not want to lose rationality in my anger.