He only has one option

Midnight. You're pacing back and forth in your office.

Sarah was right. Watching her change her style and appearance in a manner opposite to what you wanted was the biggest rush you'd ever felt. She was doing it for Jim's benefit! It killed you inside and turned you on so much you could hardly think.

Your bare feet sink into your deep Persian rug as you pass your armchair for the 22nd time. Unbidden, your mind resurfaces her phrasing from earlier: "I don't really want surgery but I really want the look that surgery would give me."

You rub the coin between your fingers thoughtfully and sit down at your desk.

It was clear from her tacky outfits and makeup that Sarah wanted to keep pursuing Jim's desires, but until she really committed to the look Jim wanted – until she really was ready to dive off the deep end – it all just felt like half measures.

...But surely you could never make her go through with those procedures – right? You abhor plastic surgery. Sarah isn't some Hollywood trophy wife. She already has the perfect body. You had crafted it yourself, damn it. Hm, now if only there was some way to use the coin to create a kind of cream that would do this all without surger– "What the hell am I thinking," you chuckle ruefully and shake your head. That's impossible.

Right now, you're either forgetting this and going back to bed, or you're wishing that your wife would get over her fear of plastic surgery.

That means you're either you're accepting these current half-measures, or you're using the coin for something ridiculous, something you'd hate – like wishing that she'd start to desire to look exactly like what Jim's plastic fake ideal is, and that she'd love flaunting her changed body to you while knowing you hate it and that she'd be able to heal extremely quickly from plastic surgery and be able to convince anyone that that's normal, and that yo – but you come, hard, and THOOM.

Inky blackness erodes and then overtakes your consciousness.

Had you not been masturbating since sitting down at the desk, and had you not been holding the coin in your hand the entire time, you might have even had a fighting chance.