It sounds a little more complicated that it is.  It simply means surgically rearranging the male part and creating a female part.  No, the penis is not actually removed, its just changed.  This is my ultimate goal.  The final  step to womanhood.  All the years of unhappiness and frustration will finally be over.  I can think of nothing else now, my whole life is focused on this one event.  Nothing else matters.  It will be the happiest day of my life when this happens.  To rid myself of this horrible part of me and become truly a woman.  It will be a cause for joyous celebration.