There is currently not enough information available to assess the portrayal of transsexual characters or themes in 'This Is Going to Hurt'. Without plot details or character descriptions, it is impossible to determine if such depictions exist or to evaluate their net impact as positive, negative, or neutral.

The movie does not contain any action or adventure elements.

The series adapts Adam Kay's memoir about his experiences as a male doctor. The lead character, Adam Kay, is portrayed by a male actor, and there are no instances of established characters having their gender changed for the adaptation.

The series adapts a memoir, with the main character, Adam Kay, portrayed by an actor of the same race. Other characters, like Shruti Acharya, are either fictionalized or composite, and their race was not explicitly established in the source material as different from their on-screen portrayal, thus not meeting the race swap criteria.