Are you serious? That gender is the same as sex when sex means male or female isn't something I made up. This whole "gender-fluid, non-binary, I was a boy, but now I am a girl" because "feelings and shit" is the made up definition.
Yes, tragic when a person of the female gender does that to herself. What does that have to do with changing gender?
In female-to-male transsexuals, the operative procedures are usually performed in different stages: first the subcutaneous mastectomy which is often combined with a hysterectomy-ovarectomy (endoscopically assisted). The next operative procedure consists of the genital transformation and includes a vaginectomy, a reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap (or an alternative). After about one year, penile (erection) prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis.
The sad part is that the surgery and the hormones are completely unnecessary.
Take your friend. If he belives that he is now female, why not continue to accept his body as it is now? Why have a surgery that is just as grusome as the one you posted for so-called "female-to-male" surgery? He has friends who accept him. Anyone who does not accept him now, is unlikely to accept him because he gets his body altered.
Most of the cosmetic changes provided by the surgery can be accomplished with shapewear, female clothing and makeup, and maybe some facial surgery. It is unlikely he will then look like anything but a man trying to look like a woman, but the same is true for people who have the surgery.
I hope as a friend, you would encourage him to accept himself as he is, and not find a doctor to profit from mutilating him.