Stop it!!! you have no idea what you are taking about. I am fully aware they create a vagina with the penis. I'm aware that a man looses 80% of erectile tissue during the operation. Orgasm is very very possible but there is still a very high risk of not being to . The failure rate of the vaginal opening over time has dropped from 50% to 20% due to improved surgical techniques. Surgeons cut- thats what they do. They love to cut and what could be more challenging than gender reassignment surgery. They are messing with a boatload of nerves (a clitoris has many more nerve endings that what they can create) Quotes from those who had the surgury "The first thing to note is that it is a painful, scary and expensive major surgery with a 1 year recovery... and the aftercare routine is with you for the rest of your life." and "very intrusive impact of the surgery itself, the intensive aftercare/dilation schedule of the first year, and the ongoing need to dilate weekly for the rest of my life - if I wasn't a trans woman whose sanity and well-being required this step, it would not be worth doing." Doctors don't magically make a vagina - they make a wound were there wasn't one that needs to be cared for or it will close. Its a very complicated step that hinges on "whose sanity and well-being required this step" . I fully empathize with their need at peace with themselves but any way you look at it.. its a very dramatic step. Enjoyment of sex afterwards is expected with "orgasms but not like the kind you had before" . It's very risky and not best understood by... "They don't cut the penis off, they create the vagina with it" Do I sound like someone who is ignorant?