As Samantha hit orgasm one last time, the door opened and a doctor came in. Nurse Phoebe slid off Samantha's cock and gave it an affectionate kiss. "I see you've done a good job prepping Samantha for his surgery," she said. Nurse Phoebe giggled.
The doctor was an attractive woman who appeared to be in her late 40's. She was just as naked as Nurse Phoebe, and was seven or eight months pregnant. Even for late in her pregnancy, her bulge looked oddly large, as if she were carrying multiple babies. "I'm Dr. Marsh," she said. "I'm here to take you to your sex change. I'd usually do 'prep' with Nurse Phoebe, but as you can see," the doctor placed one hand lovingly on her pregnant belly, "I'd have a hard time keeping up with Nurse Phoebe's more athletic style."
"Dr. Marsh was the one who changed my sex," said Nurse Phoebe. "I'm so glad she did. She taught me so much about enjoying my life as a woman."
"And I'm glad you were able to work with us," said Dr. Marsh. "After I got my own sex changed, I felt so alone, being the only one for so long. Nurse Phoebe and the other sex changes have been a second family to me." Geeze, thought Samantha. How many other sex changed women am I going to run into?
"Do you have any final questions before you go in for your operation?" asked Dr. Marsh.
"I'm going to be fully fertile, right?" asked Samantha. "I will be able to get pregnant and have babies?"
"The surgery gives you full functionality," said the doctor. "And you won't experience menopause, so you will be able to have children for as you want. That's why I'm still able to get pregnant. But, just so you're aware, there are a couple of side effects. You're libido and maternal instinct will be hightened. The other side effect of this is that you will be hyperfertile. Have they explained that to you yet?"
Samantha had read the term in the informational tracts, but had not heard it explained. "It means that you have a high probability of getting pregnant with multiple babes each time you concieve. In fact, its almost unheard of for a sex changed woman to have only one baby. Even two are fairly rare." She placed her hand on her stomach again. "I had my sex changed when I was in my early 30's, older than most people, so I've had fewer pregnancies than someone who had theirs changed at your or Nurse Phoebe's age."
"How many children have you had?" asked Samantha. "If you don't mind my asking."
"I've had to make up for lost time, so to speak," replied Dr. Marsh. "But this is my fifth pregnancy. I've had two sets of triplets and this will be my third set of quadruplets. So these will be children 15 through 18." Samantha could hardly believe one woman having 18 children period, much less in such an unusual combination. "And this is hardly unusual. I'm 'behind' many other sex changed women. Some of them will have given birth to 30 or 40 children. But don't worry. Every single person who's had this operation not only loves being a woman, but has also loved having such large broods of children." Dr. Marsh looked at the time. "We have to take you into surgery now. We can tell you more about our experiences as you recover. It'll be a good way to help your transition and teach you how to use your new body." Samantha lay down on a gurney, still naked, and was wheeled into an operating room, where he was given anastesia to put him to sleep for the operation.