Anime girl in a short skirt and trench coat standing in a room

Mai Sakurajima stands wearing white medical gloves and a white mask to perform surgery，Medical goggles，Medical protective caps，black color hair，Wear hair accessories, school uniform, Purple eyes, Jacket, White shirt, :D, tiese, hair pin,see-through raincoat，red necktie, Wear a white mask，Wear white socks，black heels，Mai Sakurajima stands next to the bed in the operating room，The bed was covered in blood，Mai Sakurajima is undergoing surgery

(nsfw:1.5),verybadimagenegative_v1.3, ng_deepnegative_v1_75t, (ugly face:0.8),cross-eyed,sketches, (worst quality:2), (low quality:2), (normal quality:2), lowres, normal quality, ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy, DeepNegative, facing away, tilted head, {Multiple people}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, low quality, normal quality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, extra fingers, fewer digits, extra limbs, extra arms,extra legs, malformed limbs, fused fingers, too many fingers, long neck, cross-eyed,mutated hands, polar lowres, bad body, bad proportions, gross proportions, text, error, missing fingers, missing arms, missing legs, extra digit, extra arms, extra leg, extra foot, ((repeating hair))