...so was the operation or sex training, or both, what was needed?

The other thing Joseph's visit to Paris was memorable for was leaving a Memorandum in which he told both his brother-in-law and his little sister that they needed to get some reforms going or else there was a road to disaster. This, famously, they did not listen to.

I don't know why this made the comment 1000% more awesome, but it totally did.