Does it have something to do with the permanent open wound they call a neo vagina? And then they get random dudes to raw dog that wound?

You mean this phenomenon, which is healthy and natural according to top politicians, has comorbidities and impedes function? Like a mental illness? No, I'm sure it's everybody else who is the problem.

Really? Surgically destroying hormone-producing organs for cosmetic purposes and then taking a cocktail of drugs to further alter your physiology for cosmetic purposes is bad for your health? Gee, who would have guessed??