This check is no longer needed

src/facilities/surgery/surgeryPassageUpper.js

@@ -199,7 +199,7 @@ App.UI.surgeryPassageUpper = function(slave, cheat = false) {
 									}
 								));
 							}
-							if (slave.boobShape !== "saggy" && slave.boobShape !== "downward-facing" && slave.boobs >= 2000 && slave.boobsImplant === 0 && V.meshImplants === 1 && V.surgeryUpgrade === 1) {
+							if (slave.boobs >= 2000 && slave.boobsImplant === 0 && V.meshImplants === 1 && V.surgeryUpgrade === 1) {
 								linkArray.push(makeLink(
 									"Implant a supportive mesh to preserve their shape",
 									"breastShapePreservation",