Lyric discussion by kassie1124 

This is what the song means. The dude wants a sex-change operation. But his parents really hate him, they think he's crazy to want that. So they slyly pay the doctor to give him a LOBOTOMY instead. Imagine his chagrin! The climate was extremely hostile to such operations in the Sixties, not at all like now.

@kassie1124 Now it could be that the Doctor gave him a sex-change first. Then his parents sprung their surprise on him, and the Doctor followed this up with an unexpected lobotomy. The guy emphatically was not down with this unexpected development, but he was in no condition to complain about it afterwards. The Doctor was a maniac, something went wrong. Not only did he make no complaint, he never moved his head again. His parents wheeled him, uh, HER, around in a wheelchair with an odd smile on their faces. They had done their parental duty! The Doctor probably got...

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