i always been kind of interested how society is accommodating of a man who decides he wants to be a woman (or vice versa).

but meanwhile that dude who cut his nose off and got all those facial implants because he wants to be "red skull" is a "freak" or an idiot.

http://i.dailymail.co.uk/i/pix/2015/02/04/252CD01F00000578-0-image-m-31_1423043530377.jpg

pardon my ignorance, but conceptually aren't they both body mod?

i've seen some WILD, gross out shit when it comes to body mod on the internet.
(not by choice either...)

people splitting their dicks in half and all types of crazy shit that most people wouldn't dream of inflicting on themselves.

and why do they do it? because they want to.
they all got their own reasons and more power to them, i guess...

but if you think about it objectively is there any more extreme genital body mod than cutting your dick and balls off entirely and getting a mock-up vagina surgically implanted?

i don't know -- not trying to be ignorant, but i really don't see that much a difference between op TS and people going ham with body mod aside from the way society accommodates one and looks on in horror at the other.

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and stupidity is being generous.

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for once, unlike most of posts you've gotten so far, because it's an interesting thing to think about.
Anyway, the main thing that makes them different is that with sexual surgeries there's a conscious act of identification. The modifications that come with things like adding or removing other body parts are ornamental at least, and ceremonial at most. To be clear, the guy probably doesn't identify himself as being the Red Skull given flesh, while a transexual surgery seeker self-identifies as a different gender.
While it seems that the bulk of your post wasn't really properly evaluated because of one angle, you're right that genital modification is incredibly extreme-as it should be, considering the sort of personal clarity that should go into making a decision to go forth with it.
But to get back to your initial question, unfortunately society isn't socially evolved as a whole to not consider either of your specified cases as "normal." Both of these people are considered freaks in some fashion, but I'd venture to say that post-op transexuals have it worse because when you put horns on your head or have your tongue forked, you don't carry the silly (and highly inaccurate) social stigma that comes along with still being seen as a man that likes men and opted to become a woman, and vice versa; by definition, such a transformation isn't about what someone thinks and feels about others as much as it about how that person feels about themselves, and who they truly are.

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i don't really have anything to add to anything you specifically said.

personally, i think body modification needs to be expanded to include sex changes, plastic surgery.

until there are means to add/remove chromosomes, there is no such thing as a sex change despite it being sold as such.

i mean even weightlifting/exercise/bodybuilding i suppose could be deemed something of a "modification", despite there being no external procedure or operation involved.

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http://cdn.meme.am/instances/54099381.jpg

fuck you.

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