I mean, everyone has to draw their lines somewhere. But especially when coming out as trans and losing the white male privilege in interactions with doctors, the game is rigged against us. Lying is oftentimes the only tool we have to even begin to turn the tables. Especially if you live in an area where "just go to a different doctor" is difficult or impossible.
So sure, everyone has to draw their lines somewhere. But when the deck is stacked against you, you do what you gotta do.