A gym membership. Implies overweight.

Makeover service. Implies not looking so good.

If you know a right-wing prepper, get them a subscription to Mother Earth News, a magazine that touts self-sufficiency and off-grid living with occasional ads that lean to conspiracy theories like “free energy”. It’s full of food saving and growing ideas. It’s also liberal AF.

Charitable donation in their name to an organization they likely oppose, but not “in your face”. Like if they’re republican, don’t donate to a blatantly liberal org, donate to one that teaches kids critical thinking skills and welcomes lgbtq or something like that. They get the tax writeoff, a real benefit, but would have to be visibly hateful of they rejected where the money went. Edit: how about a LGBTQ shooting camp. That’d take some mental gymnastics.

Gift tickets to a nice cultural event to someone that is anti-lgbtq. Local city playhouse has an Opera with lots of men in tights.

Any subscription or service that makes potential commentary on personal appearance or personal beliefs would be effective.