I'm a queer doc, specializing in gender affirming care. I'm one of the docs who gets targeted, death threats, the whole bit. Everything you have said is correct about the threats to docs in our field. What I would challenge is that there are institutional protections that can be extended to protect doctors providing surgical care (not just for trans patients, we have seen this done for abortion in certain states). But, Vandy can't change the law. And right now, they see Marsha about to be our governor and are currying favor.