Earl wasn't rich by any means, but he did have something of value, an old instrument that he could barter with. He had heard of a clinic, a back-alley affair that you could become younger but only if you had the money or something of value. He decided to see if that was true.
He wasn't sure what to expect. He figured he was just as likely to be robbed of this as he was to actually find that this place was real.
It turns out that it was real and his old instrument was far more valuable than what he had expected. He asked for them to help him become younger and they happily obliged.
Now here he was, walking away from this place, his head now attached to the body of a much younger woman! He should have been a bit more specific, he realized in hindsight but it didn't change how young or good this new body felt. Now, if he could just get out of these heels and pantyhose, then he'd feel even better about this!