TBH I don't even see that as belonging to the same axis, but rather as an orthogonal aspect.
E.g., I remember reading about someone who had that surgery to become a lesbian woman. Obviously he must have been attracted to women, because, you know, that's kinda the whole point about the "lesbian" part. No, I still can't figure out the kind of logic that went into it, but there we go.
For a gay, I would _guess_ it's a matter of still being in a male body, still being perceived as a male, still being expected to act like a male, and basically being unattractive to 90% men too as a result. Some may choose to fix that by giving themselves a different body, some may just want to be accepted as they are.
I'd imagine it's not a step to be taken lightly, so I'm not surprised that most people don't do it.
Society pressures may also have something to do with it. If it's unacceptable to have sex with a man unless you have a female body, there's all the more incentive for someone to make themselves more socially acceptable. E.g., there are a bunch of them in Iran, where apparently gay sex is a major crime, but getting the surgery and being re-registered as a woman is acceptable. In fact, apparently even encouraged.