When you have a sex change to you get real opposite genders genitals?

Doctor not magician: When you have a sex change, the goal is to make a reasonable facsimile of the gender genitals that the patient needs, especially in regards to function which is why it is easier to go from male to female than vice versa. Obviously we can never achieve perfection but even nature fails to do that. It depends on what your definition of "real" is. If it looks, sounds and walks like a duck...?

No. They r facsimile: No it is not possible to create or reproduce the human genitalia in the opposing sex. For male to female, the testicles are removed and the penis is invaginated to reproduce the vagina but not the uterus or ovaries. In female to male, the penis is fabricated from abdominal or forearm skin usually in combination with an implant to simulate erection. The testicles are simulated with implants.