Seemingly, he is nomal transvestite. But If you see him carefully, you notice something strange.
Incredible goldfish-head man
Yes, he breed gold fish on the head !
Certainly Japanese people eat raw fish. It’s called Sushi. Eating raw fish is quite nomal thing in Japan.
But nomal Japanese people never breed live goldfish on head. Breeding live goldfish on the head is not so nomal even for Japanese people.
I think that inside of his head must be strange more than out side of his head.