Let me start by saying, WHAT THE HELL IS THIS???!!! This movie was the most crazy thing I have ever seen, and I have recently Googled tentacle erotica.
Let us start from the beginning shall we?
We start by finding our villain sitting next to a highway masturbating to a picture of a dog, oh wait that's three dogs... oh shit that is three dogs taking it ass to mouth. whoa. Ok.
He then gets out of his car and follows another motorist who pulled over to take a poop on the side of the road, apparently there are no rest stops in Germany. We see him take out a dart gun and shoot the pooping driver, end scene.
We meet two of the three protagonists (two very young and attractive American tourists) in a German hostel asking directions to a night club from the concierge. After taking no notes on the directions, they head out into the night in high heels short shorts, and no spare tire. Instead of stopping when they realized they were going the wrong way they continued driving deeper down a dark road in the middle of the woods. Of course the get a flat. The only sign of help was a perverted motorist who undoubtedly would have raped them both, although considering the ultimate outcome that might have been preferable. The girls decide to walk and look for help. Instead of following the road they came from they for some unexplained reason venture into the woods. Because we all know people that would help some stranded tourists live in the middle of the woods like a hermit, instead of people who live on the main road. Duh. As soon as they enter the woods, it starts raining, of course.
After some really bad acting the girls finally manage to find a house.
Lucky for our villain guess who's house they happen to find? Yep the only psychopath in a 20 mile radius. Of course he lets them in, and offers them a poisoned laced glass of water each.
After a dramatic effort to get one of the girls to drink it, he subdues both of them. They wake up sometime later in small hospital room in his basement on stretchers. Next to them they find the pooping motorist also drugged and gagged. The doctor decides that he doesn't like the male he picked up at first, so he kills him and brings home a feisty Japanese man instead. Now the search is complete we learn that our villain is the top surgeon in the world infamous for separating Siamese twins, well he's retired now and sick of separating and is ready to put some people together. His monologue to explain his master plan included a slide show of exactly how the operation would go down. Also I think it is worth mentioning that the Japanese man does not speak English at all so all he understands are these photos. So I'm sure all of this is much worse for him, because he doesn't have a clue as to what is happening.
You can figure this out from the pictures. It's gross, got it. Now, an avid movie watcher like me would expect this to go live, at the very end. Meaning that we would get one quick look at this disgusting thing in action very briefly at the end of the movie, but no that's not how it worked at all. After a quick escape attempt the doctor successfully completes the operation with an hour left in the movie. So we see everything. Oh and the one girl who tried to escape was punished by being placed in the middle position. Yuck. 
The day all three wake up they are surprised to say the least that he actually did it. The doctor celebrates by joyfully dancing around them as the girls sob and the man (in the first position) screams. 
This is getting more unsettling by the minute. Sorry about all of the pictures but I wouldn't believe this if I were reading this and not seeing it.
Anyways, we follow this unfortunate trio through longer than I would have expected, it must have been at least a couple of weeks because their faces looked like they were healing. We even got to see how the second two were fed. Yup, it was the poop of the one in front of them. 
This movie is really crazy and leaves you hanging at the end. I won't give it all away, you are just going to have to see it for yourself. I don't know if I would recommend this movie to anyone or not. The acting wasn't that bad and the graphics were pretty good, but the content was well... just plain gross. Ok, I've decided, you should watch it. You won't believe it if you don't.
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