Trans woman here . If only it were that easy to get surgery . You wouldn ' t believe the amount of paperwork , money , waitlisting and number of appointments it takes to just get scheduled for surgery , let alone actually get it . Not to mention the extended hormonal treatment needed to even become eligible for it . <| sep |> This psychedelic tour of life after death is seen entirely from the point of view of Oscar Nathaniel Brown , a young American drug dealer and addict living in Tokyo with his prostitute sister , Linda Paz de la Huerta . When Oscar is killed by police during a bust gone bad , his spirit journeys fromthe past where he sees his parents before their deaths to the present where he witnesses his own autopsy and then to the future , where he looks out for his sister from beyond the grave .