When I was performing exams as a play doc, I always tried to set the scene and make everything as realistic as possible. I used a folding table that was very sturdy (https://www.lifetime.com/lifetime-2901g-6-foot-folding-table-commercial), on which I placed a dense foam exercise mat and covered that with a standard white sheet. I did have a small travel pillow for the patient's comfort, and an optional wedge pillow to allow then to see what I was doing. I had made a portable set of adjustable stirrups out of 1" PVC pipe that worked quite well. They would support the legs at the calves and could be tilted in and out. The exams always started out with the patient's knees fairly close together, and then when I would roll my stool into position, I would reach in and spread her legs apart as far as possible. The patient already felt vulnerable, but when her knees suddenly opened wide, that feeling certainly intensified. I had a couple of small, but very bright halogen exam lights that were aimed… well, I'm sure you know exactly where they were positioned. I also dressed professionally, wearing dress slacks and a shirt and tie, over which I wore a lab coat, embroidered with the medical caduceus below which I had a plastic name tag. Yep- it said: Doctor David. Of course a stethoscope was around my neck, or in one of the coat pockets. The table was set up to where I could attach restraints to the patient if it was deemed necessary. On a side board was displayed vaginal and anal speculums (speculi?), a plexor (little rubber tomahawk to check reflexes), a Wartenberg wheel, various sizes of syringes, enema equipment, TENS unit, etc. Earlier, the patient had filled out a very detailed questionnaire on a clip-board. Lots of questions about sexual experience, ‘female problems’, bodily functions, etc.
Damn, I liked playing with and being up close and personal with girly bits.