[Lanthanide]

Aisle 5, right next to the condoms and lube bottles =) and Victoria Secret makes money hand over fist here.

This would be off-topic here, but I think most people outside of the region would be stunned about the state of sex-change operations over here. They happen VERY frequently, albeit with a heavy veil of privacy.

[avar]

Male -> female or female -> male? I have no desire to have a sex-change, but if I had to choose between living as a woman in Saudi Arabia and having invasive surgery and hormone therapy, I might choose the latter.

[Lanthanide]

Both. Anecdotally I’d actually say that the ratio of MTF surgeries to FTM ones is higher than usual over here.