Men don't get "sex changes". Transsexual women recieve treatment for their birth condition. "Sex change" minimizes the long, expensive process we call TRANSITION. For example my transition took 4.5 years and about $80,000.
Contrary to popular belief nothing is "cut off". Surgeons refashion existing tissue into a beautiful, and functional, vulva (labia, vagina and clitoris). This includes leaving all nerves intact so we maintain sexual sensation and the ability to orgasm. How good are things aesthetically? Most doctors wouldn't know if I didn't tell them, that how good results are today.