 
 <translate> James went to the plastic surgeon to get his penis bigger. James got what he want so he was filled with gratitude. Effusive means showing gratitude.
So, the final answer is effusive. <ibo> James gara dọkịta na-awa ahụ ka o mee ka amụ ya bukwuo ibu. James nwetara ihe ọ chọrọ, n'ihi ya, obi tọrọ ya ụtọ nke ukwuu. Ịgbasa ihe pụtara igosi ekele. N'ihi ya, azịza ikpeazụ ahụ bụ nke na-enweghị mgbagha. 