For those reading it, I've decided to post this really screwed up question. I'll provide a bit of context first.
The doctors that worked on Tifa seem to be connected to Zangan (the elder being a former? student). They reconstructed Tifa, including using metal on her bones to fix the wound from Sephiroth. They then do a skin graff to make sure there's no scarring. (If I understand this right).
They then took a photo of her (during operatio or slightly after?) as well as stole her money. They show this picture to Marle, which angers her and bonds Marle to Tifa.
I don't understand what this photo was, exactly, and why it's so problematic. If it's just a photo of a girl in operation, on one hand, they're showing their work? That makes it maybe less sexualized and more morbid. But it seems to be of a sexual nature, i.e. her exposed breasts. With the metal reconstruction going on and rebuilding Tifa's body, does the text hint that they gave her breast augmentation and were showing that off? Is that what's going on? That seems to be what's going on, but I can't really tell.
Square hasn't been shy about focusing on Tifa's bosom at various times in the past, but there's some... uh... awareness that this is problematic? Is this their attempt at taking an out?
Lastly, I wonder how much of these doctors connected to Zangan and had Tifa in their debt would have shown up in the cut Tifa chapter from Remake.....