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Taken as close to 100% literally as possible, this is about a person going through sexual transition therapy.
Verse 1 is about dysphoria, and the decision to go through with the therapy.
The pre-chorus is a bit odd in this context, though it could be interpreted as coming out.
The chorus is pretty clearly the, well, surgery.
Verse 2 is the transition process, or the "metamorphosis" if you will.
Taken as close to 100% literally as possible, this is about a person going through sexual transition therapy.
Verse 1 is about dysphoria, and the decision to go through with the therapy.
The pre-chorus is a bit odd in this context, though it could be interpreted as coming out.
The chorus is pretty clearly the, well, surgery.
Verse 2 is the transition process, or the "metamorphosis" if you will.