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Dicks in buttholes is quite acceptable compared to taking the insides out of the penis- shoving it up inside of the abdomen, stapling it there permanently- and calling it a vagina…

Plus having to flush it out daily with water, an antiseptic weekly, a fistful of anti anxiety meds, anti depressants, weekly counseling visits, monthly psychiatric visits, semi annual “gynecological” exams, hormone therapy, maybe a few rounds of breast augmentation…