Sorry, I deleted my comment because I realized the last couple pages were all complaining about what I was asking and didn't want to spam...
...But yeah, the more I think about it the more annoyed I get. One of the reasons the Steph romance is so unique in this whole website is that you can have a genuinely wholesome romantic relationship, PLUS lots of kinky depraved sex, but plastic surgery is WAY beyond kinky, that's a huge, huge change for so many reasons I won't bother rehashing. The anal choice being "forced" is one thing, because it's not like her and your lives irrevocably change whether you stick it in her butt or not.
I found a comment from WhitePhantom that said that "if bimbo Steph has 2 scenes, kinky non-bimbo Steph will have 2 scenes, and vanilla Steph will have 1 scene," so far that obviously isn't the case, but I'm hoping the message at the end of this update about it being released a little early means that those scenes just haven't been put in yet. Fingers crossed until next week, I suppose.