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Out of the loop… I was able to parse that this is a trans thing relating to de-detesticlification, but I couldn’t figure out bofaectomy
It’s a joke in the same vein as updog. You get someone to ask “what’s bofa?” and you say “bofa deez nuts” in some form or fashion
From Updog, came many descendants. First was Deez, of the Nuts, soon eclipsed by their child Bofa Deez of the Nuts. From Bofa sprung the twins Ligma and Sugma. Some say their lineage continues to grow to this day.