Mistress April's latex-clad form towers over her slaves in a sterile, medical dungeon. She orders them to restrain a writhing, terrified patient on a cold, metal table. April, in a nurse's uniform, picks up her surgical tools, her eyes reflecting the harsh lights. She delicately, yet cruelly, sews the patient's pussy, the needle piercing skin, as Ares and Rose watch, horrified. April, aroused by their distress, commands them to pleasure her while she continues her brutal, vaginal surgery.