It’s not really a meme, it’s part of a long-running comic called sinfest.

After the surgery you have someone who will never again be a normal person. They take a person who might never have gone to the doctor despite having insurance where you’re guaranteed to get paid to having someone who requires a lifetime of care that insurance needs to pay for who was pre-selected as having insurance.

There’s audio out there of hospital administrators talking about that exact thing.

They don’t think they’re absolutely evil because they also have been indoctrinated into thinking they’re doing the right thing. That’s despite having something where 60-90% of kids are cured if you do nothing and just let them grow up.

As I recall, the data shows that with no intervention, an overwhelming majority of kids who question their gender during puberty end up as their birth gender. Like 75-85%.

Any clinical intervention needs to do better than that to even be considered neutral.