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The transformation goes beyond clothing and training in the feminine arts, and moves on to actual physical surgery completely transforming Luis's looks, all orchestrated by "Aunt Mona".

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    As I lay on the examining table, the implants were inserted. When that was finished I was moved to a more comfortable operating table - actually more like a dental chair than a table. With the move I started to get quite dizzy and a bit nauseous, which subsided as soon as I sat down again. But it foreshadowed things to come, all well planned by Aunt Mona. My face was injected with the local anesthetic which was given time to work and then Doctor Michele begun to change my face. I felt no pain, but I could feel the pressure as she cut, grinded and sewed.