I can't recall the exact source, but I read that for some with gender dysphoria, that having surgery makes the mental illness worse (and their reality harder to bear), because with each and every surgery, they realise that they're not actually the sex they're trying to become. Yet for many, instead of ceasing, they continue to chase the unattainable.I agree there must be an issue re mental illness here, because he said that once he became a "woman" (which he most certainly isn't) that would be it yet he's continued having surgeries. It's like it's an obsession, chasing after the unattainable.
So yes, in JA's case, he's not a woman, nor will he ever be because a woman is an adult human female, and JA is an adult human man, and irregardless of how much surgery and hormones he takes, his male biology is coded into every single one of his cells.
Regrettably, and scandalously, while pharmaceutical companies and doctors can monetise gender dysphoria (rather than in most cases, treat it like the mental illness it is), there will be many more JAs.