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The film centers around a transexual man who was the victim of a botched sex reassignment surgery resulting in the titular "angry inch" of the title. Several men are shown nude from behind. A transexual babysitter masturbates a teenage boy who is in the bathtub. A teenage boy puts his hands down the front of a transexual's skirt and recoils in horror at the mutilated genitals. Various song lyrics and on-screen jokes make reference to numerous sex acts.The film is about the interplay between gender, sex, and identity. These interrelated concepts are explored through the story of a transsexual's frustrated search for love and authenticity.We see a nude boy lying on his stomach exposing his bare buttocks; he then rolls over and exposes a penis shaped puppet. We see a nude man with a pile of candy covering his crotch. A man forces a young man into a sex-change operation so that they can be married.A transsexual strokes her crotch with a microphone and with the microphone stand. A transsexual woman bites a guitar which is held by a man at crotch level. A transsexual woman in a mini skirt stands over a man's head inviting him to look up her skirt.A transsexual woman joins prostitutes on the street looking for clients. A groupie throws herself at a rock star.
There is considerable drinking throughout.
A man and a transexual are distracted while driving a car, and it violently crashes.Some people might need to know that one scene has strobe effects.