The SeX Files: Transgender Issues

I can't recall any major crises in my life about my gender - I was born a woman, I will die a woman. I find men fascinating, perplexing, maddening at times - but I have never wanted to be one. Homosexuality and even cross-dressing have never seemed particularly weird to me. I had gay friends in high school. I grew up in a permissive era with an open mind. Gender reassignment surgery is something I never have been quite able to wrap my head around though, even as a nurse. I just don't get. Maybe because I'm a nurse, I don't get it. The first and foremost question I have is - why would anyone voluntarily surrender the ability to have an orgasm?