My fantasy is a science fiction like setup with a chair that can both position and restrain my patient in very exposing and vulnerable ways. Surrounded by e-stim equipment, probes, insertion instruments with wires and tubes, urethral insertion tools, anal tools, vaginal dildos, fucking machines, vibrators etc, etc. A set of cameras that can register the event from multiple angles, and a monitor screen that allows me to check how well a certain procedure looks on camera.
And this all accompanied by a willing patient, who enjoys being helpless, gets hugely turned on by all this, and gives me the privilege of not having to hold back...
The above will probably remain a fantasy but in reality:
My playroom setup is a bit more simple, but still very effective, practical and aove all, it is real. My wife is a willing play partner, and together we enjoy to play with guest patients, nurses, doctors and assistants...