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As a trussy expert I can quickly, and drunky, explain it.

You flay the peepee and scrotum. Discard the balls, invert the penile skin and somehow push it inside. Trim down the head of the peepee and place the smaller portion as a clit. The scrotal skin forms the labia majora. Bing bang boom done.

I'm not sure how they anchor it all, but it is anchored inside. Other methods are different and more complicated, but penile inversion is the most common approach.

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Proud :marseysinga: of u trussy expert @Allende

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