Okay, look. I admit that sometimes I look too deep into some manga concepts. Maybe a cigar is just a cigar, and the only one thinking it's not is me.
But within the first 10 pages, we have a man who voluntarily decides to remake his body into that of a woman's, and his wife who decides to remake her body in the form of a man. And because you can only do so at 30, they never had the chance to even preview body modifications before.
Look me straight in the eye and tell me that this isn't trans as fuck. I dare you. I double- no. Triple dog dare you.