While some viewers see it as a satirical look at identity, others criticize it as transphobic for equating gender-affirming surgery with becoming a dolphin.

is the premiere episode of the ninth season of the animated series South Park , first airing on March 9, 2005. It is widely recognized as one of the show's most controversial and graphic episodes due to its use of actual medical footage of a sex reassignment surgery and its satirical take on identity. Plot Summary

The episode is frequently debated for its portrayal of transgender identity and medical procedures: