Based on the lack of provided information, it is not possible to evaluate the film's portrayal of LGBTQ+ characters or themes. Therefore, the net impact is deemed N/A, indicating no identifiable depiction.

Based on available information, the film 'Chirurgie' (1989) is a short film centered on a surgeon. There is no evidence to suggest the presence of transsexual characters or themes within its narrative. Consequently, no identifiable depiction of transsexual identity is present.

The movie does not contain any action or adventure elements.

No information is available regarding source material or character baselines for 'Chirurgie' (1988). Without established prior character genders, it cannot be determined that any character was gender-swapped from a previously defined portrayal.

Chirurgie (1988) is an original animated short film. There is no prior source material, historical figures, or established legacy characters from which a character's race could have been canonically defined and subsequently altered. Therefore, no race swap occurs.