The gross should have long ago grossed us out. But look around : the world is more involved in businesses related to food, sex, body craft and grooming, than in books and lettercraft.
I am not being condescending. But I do value the self and believe in examining it from time time. As part of that priority, I would prefer to keep the ambience around it clear of matters gross. To do so, it is crucial that our involvement with gross concerns is kept to a minimum, limited to just as much as we need to ensure our good health and survival.
How would you categorise vaginoplasty, necessary or superfluous ?