I currently consider myself transmedicalist-adjacent, but differ from many on key issues - though often primarily on pragmatic/political or personal freedom grounds rather than disagreeing in ideal. I also consider myself a transsexual separationist (vs transgender), where transsexuality requires gender dysphoria and is a medical condition. Previously I was less transmedicalist, but my views were also less well defined at the time.
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3.00It's not specific, it's an ill-defined ideological cluster. Depending on who you ask, it ranges from believing that one needs dysphoria to be trans, to believing that one needs to want (or be actively seeking, or even have) SRS to be trans, to wanting significant restrictions on who can transition medically or even socially - including anything from merely requiring that one meet the diagnostic criteria for gender dysphoria, a return to long required waiting periods, or similar restrictions. It's a vibes thing.
I would, for instance, probably disagree with many restrictions on HRT - but I would be okay with HRT for those who do not have clinically recognizable dysphoria being considered only a cosmetic procedure while for dysphorics it would be considered a medical procedure (mostly relevant to insurance and prisons). In ideal I would probably be okay with something like tying ID changes to dysphoria+HRT, and even tying bathrooms to that, but in practice I worry it would open the door for more unreasonable restrictions or practices so I disagree in practice. I also disagree with further restrictions on grey-market hormones. Some classical transmedicalists add restrictions to what is validly considered dysphoria which I would disagree with - e.g. being clear in childhood, specific severe genital dysphoria, or even things like being inadequately feminine (or masculine), poorly passing, or engaging in progressive/internet-brained behavior.
People who are transsexual transition due to gender dysphoria. Transgender includes other forms of gender-focused weirdness, including non-dysphoric medical transition ('gender-related biohacking' is a term that I've used), forms of gender nonconformity, etc. Often these groups have aligned interests, but sometimes they have conflicting or unrelated interests.