It's basically real, uncensored, very raw footage of the surgeries of how neo vagina and neo penis are made.

Neo vagina require the penis and crotch area be cut up, de-gloved, and inverted inside out in a number of ways. I believe there's a section showing a transwoman getting "unpacked" after surgery as well where the surgeon basically keeps... pulling out wad after wad of gauze and god knows what out of the neo hole. I thought it was a video of a woman giving birth at first glance.

The other half is how neo penis is made. It involves grafting a large section of skin from the arm or thigh in order to form what is the rough equivalent of a thick, floppy meat dildo that may still have hair follicles on the entire shaft. The donor graft sites are also reduced to looking like very dry, shriveled jerky, especially the arm sites, which look closer to an eaten chicken drumstick than an arm by that point.

When people insist that bottom surgeries are in no way "multilations", I hope they've watched this.