While giving a Cincinnati Bowtie (Tracheotomy Style), the Receiving Participant leans the head backward. Thus allowing the penis to protrude from the mouth. As if it were a Gopher Sticking it’s head out of a Gopher Hole.
The Gopher Hole was originally preformed at McCullough-Hyde Memorial Hospital in Oxford, Ohio but the recipient died of asphyxiation and additional complacations.
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