The film is good: it's tense, it's intense, it's shocking, it's dramatic, it's engaging... but it's also brutal and quite illogical if we think about the details. As far as I remember, this was the first Pedro Almodóvar film I saw, and it was up to my expectations. I heard that he was a very visual director, that he wasn't afraid to show ugly things as they are, with realism and authenticity, and that he sometimes brought us complicated, ambitious stories. This movie is all of those. Honestly, even though it's not a kind of cinema that I particularly like (and I don't think I'm the only one who sometimes feels uncomfortable when realism and rawness are taken to the limit), I liked what I saw. However, there are several flaws, mainly in the story told. I'll talk about that later. To make this film, Almodóvar called a very competent cast of Spanish actors, and it is really necessary for us to recognize that Spanish cinema is going through a very good phase, with a lot of quality and very talented people. Although we are used to seeing him making American films, Antonio Banderas is Spanish, and it's great to see him here, speaking in his mother tongue. He knows how to give his character a darkly restrained, cold, calculating and slightly psychotic look. Elena Anaya also leaves us with a very satisfactory work, even considering that she doesn't have the material and time for more. Jan Cornet and Marisa Paredes, in a frankly secondary position, provide adequate support to their colleagues. On a technical level, the film also has some interesting points. Filmed mostly in the Galician region, a short distance from Portugal, it is not a tourist postcard, we are barely able to recognize the locations (I didn't). But this is secondary! The locations are good and well used, the sets are very good (especially the operating room, with all the medical apparatus and a very modern look) and the cinematography is really remarkable. Cleverly edited, it's well paced and time passes without we're noticing. The screenplay is inspired by written material, but has been so overhauled by the director that it doesn't have much connection with the original source. It's something new, even if we can understand or guess where the inspiration for some details came from. We follow the saga of a surgeon, specializing in plastic and reconstructive surgery, to create synthetic skin that he can apply to burned or injured people. Of course, this stems from trauma – he lost his wife in a burning car, and more recently lost a daughter, who committed suicide. What happens is that, at a certain point, he starts to make increasingly morally questionable experiments, going so far as to kidnap a person. I don't want to say too much, the film has many twists and turns that make the script more complicated than usual, but I won't be being honest if I don't say that there are many details and twists that have no logic at all. They simply do not make sense, starting with the creation of synthetic skin: the reconstruction of a burned face is a medical problem that is still far from being solved, but everyone knows that the skin is a human organ that regenerates itself, under the conditions and right time. It may never be the same as it was. And I can't see how all of this is connected with any hypothetical sex change (I won't say more, watch the film... but knowing that it's a very grotesque story, so get the kids and grandparents out of the room).