Masterpiece, highest quality, 16k, hospital, operating room, interior photograph

masterpiece, highest quality, 16k, hospital, operating room, interior photograph, happy, smile, (spread your legs:1.5), (feet), ((spread your pussy)), hands are raised next to the ears,(squat), Front view, long hair, ponytail, black hair, Eyes are open, (big breasts:1.41),, (nasolabial region:1.32), white skin, Plump, {(nurse), ((chest pocket)), ((collared dress)), ((short dress:1.48)), (light pink dress), ((short sleeve)), ((thighs)), (light pink hat), (red teabag panties), (sandals), ((Stethoscope))}, clothes taken off,４5 years old, Japanese, internal, in the hospital, with operating table, in the afternoon, real person, super realistic photos, full body shot, From before, Front view

paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, (outdoor:1.6), manboobs, backlight,(ugly:1.331), (duplicate:1.331), (morbid:1.21), (mutilated:1.21), (tranny:1.331), mutated hands, (poorly drawn hands:1.331), blurry, (bad anatomy:1.21), (bad proportions:1.331), extra limbs, (disfigured:1.331), (more than 2 nipples:1.331), (missing arms:1.331), (extra legs:1.331), (fused fingers:1.61051), (too many fingers:1.61051), (unclear eyes:1.331), bad hands, missing fingers, extra digit, (futa:1.1), bad body, NG_DeepNegative_V1_75T,pubic hair, glans