Within the same supine lithotomy position, intervention begins. The subject’s ankles and wrists are secured to the stirrups and table edges with soft leather restraints. A gloved hand (wearing translucent latex gloves) enters the frame from below, its fingers landing with precise, steady purpose on her fully exposed vulva (“little garden“)—perhaps applying cool gel or making initial contact with a speculum. Her body tenses instantly at the touch and temperature, abdominal muscles contracting, toes curling involuntarily. Her head turns away, lips bitten, eyelashes fluttering, but she is held fast, unable to move. Lighting focuses sharply on the operative hand and the touched, already slightly reddening tissue. Her tension starkly contrasts with the calm, professional hand. The atmosphere is one of suspended tension, broken only by the sound of clinical instruments. Style: Clinical procedural photography, dramatic spotlighting, high contrast, 8K.