She does not specify any sort of medical procedure, and refers to people "dissociated from their sex", so she's probably talking about all trans people, including people who merely change their name, pronouns, and mode of dress.
That she specifically includes those who are happily transitioned shows that this is not motivated by compassion. By including them, she is making it absolutely clear that she wants to prevent people against their will from being able to transition. Most people who transition describe it as enormously benificial. She wants to reduce their number because she describes them as a "problem".