Ledgard kidnaps Vicente. But he does not kill him. That would be too quick. Instead, Ledgard uses his surgical genius to perform a full gender reassignment and total skin grafting, transforming Vicente into the woman we know as Vera. This is the film’s central, gut-wrenching horror: the monster is not the imprisoned woman, but the surgeon. And the victim? He has been literally erased.
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: Ledgard used transgenesis and forced gender reassignment surgery to physically transform Vicente into Vera, sculpting her to resemble his deceased wife. Major Themes Ledgard kidnaps Vicente