DIE, CIS SHITL- no I'm joking. It sounds like a pretty clear-cut example of "desperate times lead to desperate measures" to me, but I've also been awake for about twenty hours so my reading comprehension isn't at its peak. What I don't know is 1) how desperate Andrew was, and 2) what other options he had. Regarding his dysphoria, how desperate was it making him? Was it severe enough that it contributed to other areas of misery in his life (an addiction, depression, suicide attempts, reckless behavior, unsafe binding practices, attempting a DIY transition)? Is the society in which he lives hugely transphobic? Do other options for physical transition exist in this universe (and can he gain access to them)? Is/was anyone else capable of performing the procedure besides the villain?
In short, I'd need more information before making a clear-cut assessment of his morality. He knowingly sacrificed others' lives for his own, which pushes him into "gray", but the exact shade depends on context.