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“I was never completely satisfied after an operation, and I still am not,” Jessica said.
Jessica Alves – surgeries
Now, 20 years later, Jessica has undergone over hundred surgeries.
In total, Jessica’s spent more than half a million dollars on surgeries. Soon, her classmates couldn’t recognize her at all. It was clear that se suffered from morphodysphoria, which is a diagnose in which a person has a disturbed image of his or her own body.

Wikipedia Commons
From the beginning Jessica Alves, as Rodrigo back then, wanted to become a male version of the Ken doll.