- Adaptation Displacement: How many people know the book the movie is based on?
- Fetish Fuel: Forced sex change surgery, sexual assault in a furry tiger costume, lots of bondage and domination, the scene with the dilators...
- Narm: Norma's looks of wide-eyed confusion when Vicente paws at her while they're still both fully dressed and standing up in the garden are cartoony to the point of of hilarity.
- Nightmare Fuel
- Paranoia Fuel: You'll surely be worried about what could a plastic surgeon do to you while you're under anesthesia.
- The Woobie: Poor Norma.