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Steven, accessories can be placed where you like since it is multi-railed. As far as shooting. Many folks shoot these lefty, you just have to adjust your "shooting style slightly" to the weapon. You can activate/deactivate the safety with your right hand, over the slide. I suspect you can hit the mag release with your middle finger of the left. Just takes a bit of adjusting.

I don't understand the question. There are options and many accessories for this.