HB9SKA
Hello Thomas.
Wihout the modification the PA has a HF-Vox for switching between RX and TX. In this way you can use the PA for transmit or receive, like required for a normal simplex, terrestrial QSO in SSB, FM or CW.....
With this modification the PA is in permanent TX mode. You can no longer receive a signal "through" the PA. Thus this configuration is only suitable for a TX only operation.
Full duplex operation (on 2.4GHz two way) is not possible with this PA (neither with the unmodified PA nor with the PA modified in the mentioned way).
73 de Johannes
P.s. the "Power amplifier -PA" part of the QO-100 Wiki cited by DL4OCE is in my opinion of very "questionable" quality