@Grailm that guy literally showed up to kill him, and he let him live. This is the pirates world and they are literally living in the most inhumane and harsh prison in the world. Dude is rotting his life away in this hellhole anyways.
@NightmareCreatures beauty is subjective and most okama are drag queens, only ivankov can give them the hormonal supplements to change genders. The way they look isnt horribly inaccurate from how drag queens look, so if they are hideous its a personal problem. Its not like gender reassignment surgery is a thing on the grand line.