aspotlessdomain said:
What is grating about Dragonspear is the distinctly preachy and out of place postmodern tone and the authors particular identity politics rewriting basic adventurer-y things like "offering to protect a woman" as unheroic.
The main writer for Siege of Dragonspear has a history of exactly what you said (preachy, out of place postmodern tone). She's done quite a bit of writing for Paizo in the past, though she only has cover credit for one module, the part of the Worldwound Incursion Adventure Path where effort is put to laying out that one character is a M2F trans lesbian despite that being wildly unlikely to actually come up in the course of running the content.
She's not quite "Gen Zed" levels of cringe-worthy, but she actively tries to be.
It's also worth noting that as ridiculously high magic as Forgotten Realms is, there's really no excuse to be "trans" in a meaningful way if you are at least skilled labor. There's literally magic to fix that, and if you do some math a skilled laborer could afford to have it done if (s)he was careful with their money for about a year, a bit more if they need significant travel to find someone to take care of it.
It's not like real life, in AD&D 2nd "transitioning" is literally a wave of the wand or putting on a "cursed" belt and no one is the wiser. That would seem to remove the need for a "trans" identity, since the ability to transition is so complete and so quick and in a high magic setting like the Forgotten Realms so available.
Heck, there was one of the gender swapping belts in the original BG, and the trans NPC doesn't react to it in any way.