Sometimes when we're growing up , God screws up our brains. Luckily for those thus screwed up, hormones and mutilation can provide loads of jewgold for sick fucks in the medical profession, unless of course you're a transvestite and too pussy to go through with it. Simpler and cheaper means can also be used; some shemales operate on themselves quite successfully, though applying a saw to one's penis is certainly not recommended. FTMs have an easier time as they do a relatively convincing job of looking like members of the opposite sex, despite the two forms of genital surgery available to them being complete shit. Phalloplasty creates a penis which looks like a mangled sausage hanging from their crotch and metoidplasty creates a tiny red penis which looks like it should be attached to a year-old boy.