Point 1) changing the name of a "sex change operation" to "gender affirming care" isn't a magic spell that transforms a conversion therapy into anything other than what it is. You want a sex change? Change means conversion. You want an operation or an hormonal prescription? Those are therapies. (What you call) "Gender affirming care" is (really) gender conversion therapy.
Point 2) related to point one, "affirming you in your authentic gender", doesn't magically transform into "conversion therapy" when you utter magic words. (What you call) "Conversion therapy" is (really) gender affirmation.
Point 3) you are miserable and will kill yourself because you are enslaved to your desires and are ruminating about them. Instead of using your intelligence to discern the difference between right and wrong, you're using it to come up with excuses to be wrong. Just because your particular desires are to be (or at least to be treated as) the opposite sex, is not a magical talisman that makes them any different from anyone else's desires; you need to stop ruminating on things that you want but cannot have. I desire to have a million dollars, but robbing a bank or threatening to kill myself if you don't hand over the cash are still WRONG.
Point 4) let's pretend that I'm incorrect in the points above and you're correct that a sex change is the right thing for you; I can entertain the notion for the moment. Okay, you've changed sex. But now someone isn't "respecting your new identity". Whose fault is that? It's yours. You don't "pass". That means you fail. Respecting a failure would be disrespecting the person who failed. Your teacher gave you an F on your school exams when you deserved an F, so that you could learn to do better; this is the same thing. This is your "real life test". If you want to pass, if you want to be treated as the opposite sex, then you have to succesfully operate as the opposite sex. If you put in A-level work, you'll get A-level results.
Point 5) related to point four, the work required to pass is going to be exhausting. You have to live a lie 24/7. If you say that it's not living a lie but instead is being your authentic self, then see points one and two again. You might be able to keep this up for a day, maybe a year, maybe 18 years, even; but you cannot keep this up forever.
Point 6) Even if you could maintain the charade forever, no amount of hormones or surgeries (or even science fiction fantasy solutions) will ever be enough. See point three: you are addicted to your appetite. See point four: even if you successfully trick everyone else in the world, you'll never successfully trick yourself. "Transition" has no endpoint. You are in a permanant state of restlessness until (and unless) you learn to accept your place in the universe.