Gender confirmation surgery is the way the con artists hide what it actually is: gender reassignment surgery through the process of castration and the surgical construction of an artificial vagina. The artificial nature of the vagina they create is the Achilles heel of the entire reassignment process. It will be an useless hunk of skin and will never bring the pleasure it was sold to give. On top of that, it will bring a lifetime of pain like a decaying tooth that can never be removed. The shock of buyer’s remorse will be too much for many to bear.