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Paul (now susan) is walking down the street after a sex-change operation has transformed him into a beautiful women.

His old friend bill sees him and says, "Paul, you look great...you're beautiful!"

Paul says, "Thanks...but holy Christ, did it hurt."

Bill says, "When they cut open your chest and put in those implants?"

Paul says, "No, that didn't really hurt."

Bill says, "When they cut off your dick and dug out a vagina?"

Paul says, "No, that didn't really hurt."

Bill says, "Then what did hurt?"

Paul says, "When the doctor drilled a f***ing hole in my head and sucked out half my brain."

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