It's not a "sex change", just cosmetic surgery to mimic the outward appearance of the opposite sex genitals. For males who undergo this, it literally does invol

It's not a "sex change", just cosmetic surgery to mimic the outward appearance of the opposite sex genitals. For males who undergo this, it literally does involve cutting off genitalia - the testicles are excised and disposed of. The penis is inverted to make a pelvic cavity, and the scrotum is reshaped to look somewhat like labia. The absurd part is, of course, the belief that this surgery turns these men into women, or changes their sex from male to female.