Yeah, even with changing my name, clothes, wearing makeup, etc., I still get misgendered constantly. It's most egregious at work since there are people from all over the country working remotely, and many "don't believe in trans people" or whatever, even though my pronouns are visible in lots of places. But even in my pretty progressive city, I still get it a fair amount in person. I'm planning to get facial feminization and about 50% of that is to be less likely to be misgendered and/or attacked.