[BitWielder1]

It doesn't.
Instead of a real penis, you get a fake vagina and fake breasts.
Or, instead of a real vagina, you get a fake penis.
They don't work. They don't feel anything. You will never enjoy sexual satisfaction again.
Your potential dating pool is reduced by 99%.
If you were lonely before, it will be worse afterwards.

[carcraft]

The other problem is many of these people undergoing these surgeries suffer urinary incontinence. A life time of misery and regret