Updated and re-edited. After being force feminized by his domineering wife Elisabeth in books 2 and 3, Patrick/Patricia didn't think his enforced feminization could be made even more extreme. How wrong he was. Patrick/Patricia begins this concluding book of the series having had an operation to give him 42DD breasts. His work as a waitress, serving a mainly male clientele, becomes even more humiliating when Elisabeth forces him to work in low-cut tops and microskirts. Still his wife is not satisfied and she wants to take him to even greater depths of humiliation and exaggerated femininity. However, one day while working as a waitress, he meets Elena, an enigmatic woman who takes an unusual interest in him. His transformation into femininity is about to become even more complicated. This novel contains explicit scenes of a sexual nature including forced male to female gender transformation, female domination, humiliation and sexal acts. All characters in this story are aged 18 and over. Strictly for mature readers only.