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Also, I never thought it was all that complicated. I thought that all he would do is cut off his hind legs and Stranger would somehow support himself that way... Nowhere does the diagram show the hind legs melding with the front ones.
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The diagram does show it. The spinal cord needs to be shortened and the extra mass removed. The two front legs aren't built to support the entire weight unaided. But besides that, there are giant stitches running down the sides of his legs, and I'm pretty sure there are arrows that indicate half of the front and back legs are melded together.
EDIT: Maybe it doesn't HAVE to be that complicated, but I don't think its a stretch to say it would be difficult regardless. But even if it were possible to do it simpler, I don't think the Doc would go that route. He's a Vykker, and on top of inflicting pain they love science, so its not surprising he might find a more...interesting solution to the problem. Besides, then he can charge more.