“Coming face-to-face with an individual who has crossed class barriers of gender or attractiveness can help us recognize the extent to which our own biases, assumptions, and stereotypes create those class systems in the first place. But rather than question our own value judgments or notice the ways that we treat people differently based on their size, beauty, or gender, most of us reflexively react to these situations in a way that reinforces class boundaries: We focus on the presumed “artificiality” of the transformation the subject has undergone. Playing up the “artificial” aspects of the transformation process gives one the impression that the class barrier itself is “natural,” one that could not have been crossed if it were not for modern medical technology.”