Woman with endoscope and endoscope、clean medical environment, surgery, with electric arc device, stethoscope, (8K、top-quality、​masterpiece:1.2)、(realisitic、Photorealsitic:1.37)、ultra-detailliert、Sadistic Female Doctor、Devilish Smile:1.15、Beautiful fineness、A female doctor enjoying from the bottom of her heart、Female doctor excited and delighted、Devilish Smile、Look at viewers、(Smoking:1.2)

(nsfw:1.5),sad, dull, teeth, EasyNegative, paintings, sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, age spot, glans,extra fingers,fewer fingers,strange fingers,bad hand, bad leg, multi leg, missing clit, bad clit, fusion crotch, bad Drawn crotch, (((deformed))), (blurry), bad anatomy, disfigured, poorly drawn face, mutation, mutated, (extra_limb), (ugly), (poorly drawn hands), messy drawing, malformed hands, malformed face, out_of_frame, crop, preview, thumbnail, sample, mutation, mutated, closeup, (extra_limb), (ugly), animal, text, ((((bad anatomy)))), ((poorly drawn face)), ((ugly)), (((multiple views))), ((extra hand))