Elysia's lover's Things

I had this late night thought when I was about to sleep. Does trans omegaverse exist? So far, we know that there are 4 types of secondary genders Alpha, Beta, Omega and Enigma (does Enigma count?). Since its a secondary gender does this mean that there are surgeries in the ABO world to change your gender?

Like for example Hyesung from Love is an illusion. I haven't read that since 2020 but I do remember him wanting to be an alpha. So does that count him being in the trans umbrella?

This is just a silly thought anyway I'm going to sleep now