No, it's not just about "respect". It's a way for some people to get other people to say things that they honestly, truly, don't believe.
I'm a physician, and I still don't believe that BIOLOGICAL gender change is real. Someone may cut up their body, pump hormones into their body, but in the end that person's DNA is still genetically male, or genetically female. If it were a real BIOLOGICAL problem, it would not have become a societal fad in the past 10 years, and would exist to the same general degree in other countries. Even among medical professionals, gender dysphoria (the proper scientific term) is classified as a psychological disorder, according to the DSM V.
So no, someone forcing me to say something that I don't think is really a BIOLOGICAL fact. That's compelled speech, and I won't be forced to do it. Laws can be passed, and I still won't do it.
I WILL RESPECT that these individuals don't agree with me, and I will user their NAME when addressing them. But I won't have pronouns forced upon me for which I have a core, fundamental, disagreement about the validity of.