I can’t for my life remember where I read it, but I once read that God made the world logical so that we can do things and be involved. So like, yeah He can grow plants and make nature abundant, but He gave us farming so we can cultivate food for ourselves. And He can cure disease, but instead of it always being a miracle, He made it so we can make medicine and do surgeries to help each other. So following that thinking, He gave us the ability to make hormone blockers and do gender affirming surgeries so we can be involved in creation and support others