Most of the behavior here is cruel and vindictive, and some of the motivation is bitter revenge.
Very intense. A young man is kidnapped and chained to a wall. After a while, he's forced to undergo sex-change surgery and endless plastic surgery to change his appearance. There's one full-on rape scene (with clothes tearing and repeated thrusting motions) and another attempted rape. Several characters are shot and killed, with lots of blood. A woman tries to kill herself; viewers see cuts all over her body. A burn victim kills herself after seeing her reflection in a window.
A man has sex with his daughter's rapist, whom he has forced into having a sex change. Several scenes of female toplessness and naked bottoms. There's a teen "orgy" in the woods, though nothing is shown other than the movement of bodies from a distance and "sexy" moaning sounds. Oral sex and teens with more than one partner are suggested. Some sex talk.
Language (in Spanish with English subtitles) is strong but not constant; words include "f--k," "s--t," and "c--t."
Drinking, Drugs & Smoking
A young man takes too many pills and confesses to being "high" during a party. He boasts at a later period that he has not taken any pills in "a week."