If you are researching this topic for personal reasons, here is some actionable advice:

Changes in how NPCs react to the protagonist.

While Jenny Ivory's approach to defloration fix has been praised for its emphasis on cultural sensitivity and patient-centered care, some critics argue that:

Because many of these production companies went bankrupt, the original negatives are often lost, making every "fixed" or restored copy a valuable find for digital librarians. Navigating Lost Media Safely