masterpiece, transgender, shemale, futa, futanari, (HD:1.2), (High definition:1.2), (high resolution:1.2), (gorgeous African super model:1.3), (dark brown skin:1.3), (facesitting:1.7), The image is an illustration of a tall, busty and chubby nurse with a perfect rounded, apple sized very big plump ass. She sits with spread legs on the head of a white male patient. Her ass point to the legs of the patient. She facesits the male. She covers the face of the male with her ass. She sits firmly on him. The male patient lies flat on a hospital treatment table. The male patient is tied down to the table. Head, arms and legs of the male patient are visible. The male patient has a reddened head, (reddened head:1.3), . The nurse is at a age of 32, has a very fit muscular body and has black, very long braids reaching the ass. She wears a tight shiny black latex nurse uniform, (uniform:1.2), (black latex uniform:1.4), white bloodstained apron with red cross on it, (Apron:1.2), . The ass is covered completely. The ass is dressed. The ass is not nude, (not nude:1.1), . She wears very long black latex gloves over the elbows, (Gloves:1.5), . She wears a wristwatch at her right wrist, has her right arm lifted up and is looking at the wrist watch, (looking at watch:1.9), (arm lift:1.2), She laughs diabolically, (laughing:1.3), Background szene is a medical treatment room. Beside the table stands a stainless steel table with a plenty of stainless steel surgical operating instruments on it, (surgical instruments:1.6)