"After the gross anatomical work—"
"The plumbing."
"Right.  After that, we'll be doing work on your head.  We'll lift the skin off very gently, and then sand down the bones of your face.  Eyebrows, particularly, are a giveaway."
"Are you serious?  I'm not a robot, you can't just take off my skin—"
"Mr. Green, this is a very safe, standardized procedure.  Professionally trained and certified surgeons have been doing this work since the late twentieth century.  I know it feels to you as if nobody else has ever wanted to make this change, but the world is very big.  I myself have overseen this operation on more than a thousand patients."
". . . I suppose."
"It's up to you, of course.  We can stop at any point.  Perhaps you would like to reconsider your transition?"
"No.  No, I'm sure about that.  It's just . . ."
"Mr. Green, I hate to rush you, but I have a long patient list and the day isn't getting any—"
"No, absolutely.  I understand.  Sure, let's do it.  What the hell.  Do everything.  No point being an ugly girl."
"Anecdotally, I have certainly found that people handle transition best when they're happy with their appearance."
"Where should I sign?"
"Just there.  And before you leave today, talk to the receptionist.  It will forward you some displays."
"Is there one on "How to Tell Your Kids?"
"Our best-seller.  Relax, Mr. Green.  I really think you're making the right choice."