canadamus_prime said:
Personally I think it's an excuse for people with severe commitment issues, but what the fuck do I know?
On an slightly unrelated note: Sex changes. How the fuck does that work? Sure you could hack off your dick, get some ovaries installed and take a boatload of estrogen, but you'll still be carrying around a fucking Y-chromosome. ...or going the other way, I guess you'd still be lacking in said Y-chromosome.
Sex changes deal in the physical and chemical aspects of the body.
For example... male to female changers take large doses of estrogen (Among other things) to alter the chemical balances in their bodies. Typically, this is most noticeable in voice pitch, the growth of breast, smoother skin, and the smoothing of some facial features.
Next, the adams apple is shaved off. Breast implants can also be used if estrogen has not induced a large enough bosom (Or if s/he wants to be a stripper).
Finally, the penis is NOT cut off... it is reshaped. The nerve clusters of the penis are moved into the hole the doctor drilled (not sure on the specifics there), so that sex still offers feeling. These surgeries can be more convincing than I'd like to believe.
Finally, numerous other elective surgeries can be performed, such as bone shaving in the hands and feet to give a more feminine appearance.
EDIT: I realize you knew most of this, but you seemed vague. I thought a more specific approach could help you understand.
EDIT2: Also, realize that Doctors are required by law to perform EXTENSIVE mental evaluations before performing any of these steps. From my understanding, thousands of people are denied surgery a year for this reason.