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Surgically altered is fine (and often necessary) but too much surgery especially in the face (duck lips, no nose etc) is a big turn off for me.
So Vivian Porto is just on the cusp. She looks great...

For me, it's about the taboo of it.
Having a TS girlfriend and know one even knowing.
I guess I'm saying (and sorry if I sound blunt) that looks are everything. With that in mind:

10:Sapphire...

She is hot! I do have a weakness for her.