At the same time she can play with her breasts and body with her hands.
Pressure waveform patterns produced by involuntary contractions of the anal musculature, heart rate, and blood pressure.
Oftentimes, she can achieve multiple, intense, ongoing orgasms.
No one knows precisely how it started, but such transsexual surgeries were well known by the time of ancient Greece and especially in sexually-permissive ancient Rome, and were often traditionalized in various "religious rituals" that provided the resulting "women" with a place in society.
If she's new at giving blowjobs, she's probably hoping she won't appear incompetent at it, bite you, or inadvertently snag your shaft on a tooth.
She's done the orifice inventory.
Maleness and femaleness are NOT determined by having an X or a Y, since switching a couple of genes around can turn things upside down.
What's ISNA's position on surgery?