Santoni seems to be referring to Elite Gender Inversion (EGI), a conspiracy theory stating that most, if not all, of the members of the elite (Hollywood, politics, billionaires) were transitioned as children by their parents. The imagined justification for this is that it's a part of satanic worship since Baphomet is shown with breasts and a penis. The satanic elite change their kids' gender as an offering to Baphomet and receive wealth and fame in return.
Proponents of EGI commonly try to discern which elites are really transgender by comparing them to ideal masculine or feminine bodily proportions; unsurprisingly, almost everyone they suspect is then declared gender inverted because nobody has a perfect physique.
Incensed by this "evidence" of elite corruption, EGI believers then start analyzing everyone they meet, and surprise! Everybody they encounter is also an invert!
This conspiracy theory (1) provides an explanation for why transgender issues are dominating society, and (2) becomes a surefire route to paranoia.