Includes several long scenes of explicit sexual activity. One, seen as a film within the film, is gay male porn, with erections, urination, visible penetration by large objects, etc. Another scene is lesbian, with the live female cast, showing vaginal contact and insertion of objects and fondling of breasts.

Themes include sexual oppression, gender identity, and society's treatment of hermaphrodites. The movie centers around a war between the sexes.

Otherwise, there are just a few scenes of women making out, and one of a woman with a man, mostly kissing, with occasional views of breasts.

Includes an insert of an actual gender reassignment surgery, lasting a couple of minutes. It's very gory and somewhat bloody. Blood is shown splattering onlookers.

A man has a long cut on his thigh, it's open but not bleeding.

One character wraps two large apples in a sock and repeatedly slaps another character upside the head with them during an interrogation. No blood or bruising is shown.

Infrequent use of "cunt" in the physiological sense, and "fuck" in the sexual sense.

A patient is treated with injections.

Several characters are shown smoking cigarettes, although they are prohibited at this institution.

The film is mainly played over-the-top, but a scene of torture and surgery are intense.