We’re still in the growing pains version of it, though, where there are far too many people taking advantage of a legitimate position just for the attention. This isn’t unique to the gender conversation, but it definitely suffers from it.
Another issue is that there is a component of needing to be vocal and firm or no one will take you seriously, but it’s a fine line between that and being obnoxious and over-asking…reminding someone who wants to be considerate is good, being offended at someone intentionally mis-labeling may be necessary, but being offended by honest mistakes or berating someone for not realizing zhe or zher or some newly defined label was a thing definitely hurts the cause.
Until you’re that rural person dropped into a convention center with people wearing name tags with their preferred pronoun and almost no understanding of how to actually use those pronouns appropriately.
For the most part, it’s amazing how seldom pronouns actually get used in referring to any specific person. Even if Bob uses he/she/they relatively often, the he/she/they being referred to is a specific person and the number of times Bob uses the word ‘she’ when referring to Sally is related entirely to how often Bob talks about Sally, specifically with other people. That might literally be never/once a year/once in his lifetime/etc.
If the vast majority of the time Bob talks about other people, they’ve not mentioned any preference, it’s understandable if he struggles when the need comes up, mid conversation, to substitute a ‘they/zhe/xer’ where he has only every used he/she (they still sounds plural to most people), and to remember off the top of your head a pronoun you’ve only seen on a name tag one time, roughly amounts to remembering everyone’s name and their hometown. Of course the impact is lessened by the fact that you will rarely have to refer to some specific person in third person when you don’t even remember their name, and in that case ‘they’ is kind of a fallback anyway.
Perhaps an undesirable outcome is that if the pronoun is a hurdle to overcome, it’s easier for Bob just not to bring Sally up at all, a possibly unfortunate result because it might have been an interesting conversation that is now simply avoided.