Mr. Garrison is under the impression that he is a "woman trapped in a man's body" and decides to have a sex change, which is performed by Dr. Biber of the Trinidad Medical Center (with a video clip of an actual depiction of a sex change operation being shown). He is later introduced as "Mrs. Garrison" at a supermarket. Meanwhile, Kyle is trying out for the all-state basketball team. However, Kyle's performance against his African American competitors is unimpressive (by a physical standpoint; considering that he is too small compared to his taller competitors), and the coach and Cartman tell him that "Jews can't play basketball". This depresses Kyle, and when he, Stan, Cartman and Kenny are walking home, Mrs. Garrison tells the boys of her surgery.