1 girl, (she is lying on her back on an operating table in a hospital

1 girl, (she is lying on her back on an operating table in a hospital:1.5), (wearing hospital gown:1.2), she has hyper sized fake breasts ,(extremely round and full breasts), face partly hidden behind her giant boobs, (there are surgical dotted lines drawn across her breasts:1.3), she looks happy and excited, perfect face, expressive eyes, happy expression, huge fat puffy nipples

worst quality, low quality, bad anatomy, bad hands, bad body, missing fingers, extra digit, fewer digits, small boobs, black and white