The movie is a fraud, a joke that has nothing to do with real-life transsexuals. It is a macho fantasy invested in the huge penis and the fraudulent make-believe that it belongs to a man who in fact is a woman--an actress. The casting would be honest to life if the role was played by a man-- why not cast her gay boy friend actor as the cross-dresser to wants to have his penis removed? Transamerica is more honest in presenting a man, who although played by an actress, is more convincing as someone who is genuinely born with a female genetic make up and by virtue of that wants to go cross genders to finally become as fully female as possible. In 20 Centímetros, which is in fact a male gay phallus fantasy, the man who wants a new gender as a female is never established as a genetic case of someone who was born in the wrong sex anatomy and resulting gender social identity as a boy--who was more female than male although he was a boy. What we have here is a male sex worker (played by a woman) who enhances her sex trade (as they do in Bahia, Brazil, with silicone) by keeping her penis, in order to better satisfy clients who are gays or bisexuals and who find it easier to have sex with men who do not look like men with the help of silicone. 20 Centímetros is a gay farce that exploits the vogue of transsexuals in Spain and elsewhere