The film is notable for its explicit imagery, including close-ups of vaginal reconstruction surgery, an anal sex scene without the use of lubrication, a masturbation scene with a toothbrush, and an extended scene about the woman's "smelly vagina".
One of Sheares' main contributions to medicine was a technique to create an artificial vagina for those born without one.
In surgery, the tissue donor site in the cheek (ca. 2.5 x 8.0 cm.) is marked to avoid damage to the Stensen’s duct (parotid duct) and to the parotid gland.