If you play through both routes, you'll see the difference.
I guess Morgan is royally pissed, I know lil staby gets pissed if you don't reject that skank in the shower room or the park scene. Also can we get an updated scene for the MC Vicky and Mika's threesome for when Vicky doesn't get the surgery? Was kind of a standard scene. I was hopping both the MC and Vicky railed Mika at the same time, it just seemed very basic like it wasn't even worth keeping her from the surgery. And it would be nice if the harem eventually comes together and all the girls get closer with each other and setting up threesomes and group sex in the future. Also get Vicky pounding some of the girls with the MC like alternate scenes for surgery or not. Like double penetration and all the fun stuff.