>>10222419For starters he needs a complete hormonal overhaul, god only knows what kind of glitch this guy's endocrine system has, but I can guarantee you that is one of the causes.
Given a healthy hormonal profile with solid androgen levels his body composition and skin would improve significantly, and assuming he is currently hypogonadal, he'd grow thicker, darker eyebrows and facial hair. It would also give him a more streamlined face as his buccal fat would dissolve.
Assuming he'd look human at this point, he'd need some kind of jaw surgery to fix that pudgy androgynous lesbian face he has to resemble a man, and 10-20lbs of muscle mass for much the same reason. Then Lasik surgery, a good haircut, a tan, a stubble, a good wardrobe and he MIGHT at his absolute peak hover slightly above the 5/10 treshold and be considered "attractive" be a small subset of ugly or even insecure average women.
To actually have sex with a biologically-female human being he would also need a diametrically different personality.