I don't think I've stated my question clearly, and it's not that I want to defend the clinical prolapse as a nice to have feature. As anllover mentioned, this community can/should benefit from this information. So in your opinion, what is the likelyhood a rosebutt or gape will lead to a prolapse, based on the kinds of practices popular here? If one of the behavioral causes for prolapse is "straining", it seems like this entire community is at risk, because abdominal downward pressure is a common feature of assplay, at least in my experience (For now we can leave the issue of what effects putting large things in the ass). You can see from various vid clips how different people play, for example, Kirk has arguably the largest capacity of anyone on the scene, but I can't recall ever seeing him push his ass out (straining downward pressure) during play. Same for Chris (Freton and Chris), she has achieved a great deal of flexibility and volume, and I have seen her push out a bit, it doesn't seem to be a feature of her play. On the opposite side is someone like Mila, who seems to like pushing out really hard. Can you gives us some good, mildly technical descriptions for laypeople of what is a gape, a rosebutt, and a prolapse, ? So back to Kream, her ass looks like it pushes out with contraction like force when she cums, but otherwise (before warmup) her ass doesn't just hang out, or like she has no control over it. Per my last post, would you say anyone with "circumferential internal intussusception" is headed unconditionally for surgery? I.E., if you have a rosebutt or gape now, it's gonna need to be trimmed later? I know it's kind of an absurd question, but can you say "generally" what the point of no return is in terms "training", i.e. if you stretch past a certain point, and what anatomically exactly is getting "stretched"? If the pubo-rectal sling get's stretched, would that allow for intussusception without turning into a sliding hernia? And BTW (shock), this site is called ROSEBUTTBOARD, which implies a dedication to a very specific anatomical feature. As you point out "Rosebutt is also a nasty deformation of hemorrhoidal plexus, but certainly less health hazardous then rectal prolapse which is a serious medical condition that can be corrected only by surgery." So here we all are, members of the "friends of the nasty deformation of hemorrhoidal plexus" =|.