John (now Jean) is walking down the street after a sex-change operation has transformed him into a beautiful women.
His old friend Pete sees him and says, "John, you look great...you're beautiful!"
John says, "Thanks...but holy Christ, did it hurt."
Pete says, "When they cut open your chest and put in those implants?"
John says, "No, that didn't really hurt."
Pete says, "When they cut off your dick and dug out a vagina?"
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John says, "No, that didn't really hurt."
Pete says, "Then what did hurt?"
John says, "When the doctor drilled a fucking hole in my head and sucked out half my brain."