Sadism might not be a strong enough word to express this particular surgery you are about to have... It starts with a gag in the first hole, your mouth. It stretches it nicely, until your female surgeon injects you in the tongue to block the release of endorphins in your body. Then it's time to stretch another hole, your ass. Relax or not, it will hurt either way. The speculum will stretch you fully, then it's her latex gloved hand that will penetrate you more than you could imagine... And it's time to play, isn't it? Inside this mouth of yours, there are many teeth, and a lot of useless gum to play with... Your surgeon will have fun with it and cut it into little pieces, here and there... It's too bad you can't move and you can't make a sound, right? Note that with the current state of your mouth, you would not be able to express much anyway... That's a big metal clamp in her hands now, and she wants to put it to good use, pulling a few teeth out of you... You see red? It's normal... It's dripping. The final step is her favorite: a spectacular castration with an elastrator, one of her tools of choice. It feels good to play with your body, don't you think?