When it comes to medical play it’s sometimes hard to tell the fantasy from the reality. Some people invest a lot of money into creating a realistic experience. Presumably at some point, when you’ve got a playspace that’s as well equipped as the average surgical center, there really isn’t much difference.
I originally stumbled across this image on a femdom tumblr and assumed it was a medical fetish shot. In that context and with her pose, that seemed the most likely thing. Then I looked at it some more and thought that it actually could just be a regular medical shot. After all the equipment looks pretty serious and she doesn’t have the usual fetishistic nurse outfit. Some hunting around got me to a medical fetish site that currently appears to be dormant. So it actually is femdom, but I wouldn’t have been too surprised to end up at a medical equipment catalogue. I always admire the dedication of people who invest this level of effort and detail into realizing a particular fetish.