We accompany a world-renowned transgender surgeon and his patients, each in a different stage of gender reassignment. A film full of feeling that unfolds the full spectrum and radicalness of this transition.

Transgender people or those who do not fit into rigid gender assignments have always existed. For them, sex reassignment surgery is often the most important step towards feeling like their “true self”. The surgical methods are constantly improving. People who feel that they belong to the “wrong”, i.e. not their biological gender, are still a mystery to science. Why would anyone consciously harm their healthy body in order to change their sex? We accompany trans people in different phases of their transition over a period of one year. They are all patients of Dr. Schaff, an international luminary who has carried out over 6,000 gender reassignment operations. He is a trailblazer who is constantly improving and perfecting his surgical methods. We observe him at work in Munich and accompany him to San Francisco, where we glimpse the future of transgender surgery. A radically different picture presents itself in Moscow, where trans people live in social isolation and Dr. Schaff can only operate undercover under almost antediluvian conditions.