The doctors voice is made robotic, calling to mind cyborgs and robotic women; robotic women like Emilia is soon to become.
Rita later attempts to convince a reluctant doctor to perform those surgeries on Emilia. Note the masculine pronoun. Not only does Rita continually misgender Emilia during this conversation for which Emilia is not present , but the two of them have only had one on-screen conversation: their first meeting, in which Emilia shows Rita her boobs and says in a raspy, hyper-masculine voice, "I wish to be a woman.
So what is Rita talking about here? The only possible answer is the range of strange, wondrous surgeries she has just been informed of, or the fact that trans people exist, both of which this doctor is well aware of. I suspect the film is gesturing at some nebulous idea of the unloveable other showing us true beauty through their resilience, but frankly that is a reach. The film chooses not to say what Rita is talking about here, likely because the film itself has no idea.
What we are left with in that gesturing absence is that the surgeries, the act of changing your body in a way that others find both disturbing and fascinating, is not only the sum total of trans existence, but is itself somehow meaningful; aren't the trannies brave for mutilating their bodies this way?
For choosing to make themselves an artificial mockery of womanhood in order to be true to themselves? Isn't there beauty in their struggle to be recognized as something they clearly are not? It's a dismal, patronizing view of transfemininity. But before the conversation ends, a song breaks out in which Zoe Saldana, not Rita, turns to the camera and proclaims to the audience that she will always have our backs. Forgive me if I don't fall at her feet in gratitude.
