Being an absolute pain in the arse for politicians and the media and a transphobic medical establishment is good praxis. Direct action gets the goods; being a massive pain in the arse gets the goods.
This was very much my strategy when I was directly involved in trans activism in the UK. I was one of the organisers behind the Stonewall Awards protest in 2008, which I think contributed massively to eventually bringing Stonewall on side and ousting Ben Summerskill.