maid, where an adult male dresses in cartoonish female clothing and performs stereotypical female chores such as housecleaning or serving tea. Cross-dressing in D/s does not always involve a desire to be sissified or made into caricatures of women or to serve: for example, others may desire to be made as beautiful as possible and interact on a "girlfriend-to-girlfriend" non-sexual basis. Variation in D/s is virtually limitless and the activities take many forms, and may be combined with other forms of BDSM. These variations may include: professional – Dominatrix resistance play – forcing the submissive to do something against their will as an intense form of power play domestic servitude or consensual slavery enforced chastity of the submissive sexual slavery fetishes – such as foot fetish, boot worship, uniforms, smoking, latex and other items can be fetishes. humiliation (small penis humiliation, verbal humiliation) dehumanization (pony, puppy or animal roleplay) objectification (human furniture): ex. submissive's body used as footstool, or sub's mouth used as spitting bowl and cigarette ashtray cross-dressing whipping corporal punishment trampling human toilet – golden showers feminization cuckold bondage (sexual) public humiliation Safety There are some risks commonly associated with D/s concerning both physical and mental health. Some examples are: Physical health complications such as bruising, broken skin, nerve damage due to tight bondage, burns due to hot wax play, or blood-borne pathogen exposure during needle play. In rare cases, death may occur when the participants engage in activities that have the potential to cause serious physical injury. The most common activity associated with accidental death is erotic strangulation. A study by Bunzel et al. showed that between 1993 and 2017 more death occurred from auto-erotic activities than from partnered activities, and men were more likely to die in both cases than women. Negative emotional states during or after partaking in D/s activities Consent and contracts Consent is a vital element in all psychological play, and consent can be granted in many ways. Some employ a written form known as a "Dungeon negotiation form", for others a simple verbal commitment is sufficient. Consent can be limited both in duration and content. There are many versions of consent but mainly it is the knowledge between the partnership of who plays the dominant role and who plays the submissive. The commitment of knowing who afflicts and receives the pain, bondage, torture, and/or humiliation. As well as the fact that all