[magnusbaringer]

Thank you for your reply and your feedback. I'm not sure about the NSFW tag - however if you select age under 18 you cannot start the survey, so I hope it is ok without the NSFW tag.

The order of the images is completely randomized - so the survey is never the same for two participants. The images however follow a complex algorithm - no image pair shows up twice. The number of images - although admittedly quite high - is the absolute minimum amount to simulate every important condition/decision-combination relevant for surgery. The load time was optimized - however depending on your location and server load it might of course be a little to long (I try to further improve that). Thank you very much for your support!

[gus_massa]

How many images are there in total? It looks like the images are generated from smaller parts that are downloaded separately.

Perhaps you can download all the parts in hidden images and combine them on demand. Also, perhaps you can render the images in a hidden canvas while the user is selecting the previous pair of images, so when the user makes a click the change has no pause.