You would have to be in the same room as them for countless hours and you would even have to be handling, manipulating, severing their genitals... I think we've all seen bits and pieces of the very worst internet has to offer, but mutilated genitals will always be a doozy. Do you really want to stare at the swollen, rotted crotch of someone like Kevin or Wedge for hours upon hours in an operating room? I don't think I would want to be in the same room as these people even if they were fully clothed.
If you wanna help them become true and honest women, I dunno, mail them some pamphlets about srs doctors in their area. I was going to say donate to their neovagina fund but there's a pretty high chance they'll just blow that on junk food and Legos.