Perform the implantation on the Manager's double
From Fallen London Wiki
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From: A City Belonging to the Manager of the Royal Beth
Everything is ready, and the Manager is eager.
Wiki note: Parts of the text omitted here reference 
the designated location of the city.
Success
Located
[...] the light entrances them all. No one moves to intervene when the Manager prepares himself for the blade, or when you stand beside him instead. On his face is an expression which is more than relief and more than joy. [...]
An occurrence! Your 'Hinterland City - Founding Body' Quality is now 5000 - The Double of the Manager of the Royal Beth!
Redirects to: The Stars Exposed
