In this clip, John Marsh is on his back with his wrists cuffed to the floor and his groin hiked up by a rope around his genitals. He is gagged with a red ballgag and his ankles are also cuffed to the rope from his balls. He can struggle to find a position where he is not pulling so hard on his cock and balls, or he can relax and hang by them. There is no good option and it's a continuous struggle.