Well, I’m not trans or genderqueer, myself, so I can’t speak to the intensity of those feelings or how they compare to feelings like hunger or loss of a family member. You could talk to Eric or Mark if you want to learn more about that.
I think of it as being similar to Maslow’s hierarchy of needs, in a way. If your daily struggles include trying to find food and trying to protect your family from gunfire, then maybe you won’t notice if your gender identity matches up with your assigned sex or not. Or maybe you will. It’s more torturous for some than it is for others.
Still, though, to minimize gender identity by calling it a “first-world problem” is shitty. It’s still a huge problem, totally unimaginable to those who haven’t experienced it firsthand. So don’t be judgin’, bro.