I have a different theory about this person. I think he is being deliberately victimized by someone, perhaps his roommate, who is using him to live our a forced feminization fantasy. That would explain why he has had two surgeries to give (supposedly) him secondary sexual characteristics even though he has no interest or knowledge of what the characteristics truly are. I would not be surprised if someone is trading before / after "transformation" pictures of him online with their buds. Severely autistic people can be extremely trusting, and he seems isolated and generally clueless, so if this was happening he would not pick up on it easily.Jesus fucking christ.
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Edit: I guess my conclusion would be that no, it isn’t a fetish, he is just an extremely gullible and sheltered autistic man who is truly asexual. I assume he was persuaded into these recent drastic steps by the AGP trans roommate he mentions; maybe roommate even got butchered by Rumer first and then recommended her as a surgeon to this guy. Misery loves company plus the poor fool clearly doesn’t know how to google anything on his own.
A good medical system would weed out abuse like this via psychological screening and informed consent.