There are some boob job scars that simply should not appear on videotape, regardless of whether they belong to a biological woman or one who is achieving that state via a surgical route. A set of such scars appears on this title and, in fact, receive a great deal of on camera time. It certainly adds an additional weirdness to the scene, but that's not the same thing as additional erotic heat. In fact, heat is what this she-male/female release largely lacks.
The video is technically appealing, some of the performers are quite attractive, but most of the action, be it oral, vaginal, anal, or strap-on, is largely passionless. None of the performers listed on the box cover appear on the video.