Great work, Gaby! You've come back with style to give us a terrific story.
“And lastly Mr. Gallo, are you prepared to have your life changed forever?”
He didn’t get the chance to answer
You carry on the disregard for seeing to the Arnav's emotional comfort when undergoing a drastic and permanent change to his body. That the company is more interested in keeping the wheel of clients moving rather than perhaps having one change their mind at the last moment. That there could be repercussions to him mentally from having his life changed forever doesn't factor in to their concerns so long as he's legally signed off.
I like that you gave us the switch to Lara's perspective following his procedure. From the beginning we know that Arnav did this all for her but you gave us the answer to if he'd been asked to do it. Her surprise, the subtle detail of 'his beautiful blemishes', and her tear show us how much of her 'disappointment' was in Arnav's mind all along rather than being a true representation of how she felt.