POV (solo): You've come to my clinic to seek treatment for your rope bondage fetish, which seems to be impacting your life. I ask questions regarding your issues and then decide that we will proceed with further testing and evaluation. I don my gloves and ask you to remove your pants. I then tie you up with rope and proceed to place duct tape over your mouth while observing your reaction. I conclude that you do indeed need further treatment. I don my surgical attire, mask, and gloves while you remain tied. I gather my surgical tools and get to work, unbeknownst to you as to what I am doing. I then lay you to rest with anesthesia after your surgery is complete. (Many thanks to the fan who agreed to have this custom shared)