i honestly do not understand all those positive review . this get ta be one of the bad series of all time in my book . be there any cliché leave they do not do . come on and we have see it all before . i get ta give them credit for the operation scene but that all that be good with this show . their effort to present this a something cool and fresh be pathetic . if you wan na see some quality drama with humor go for six foot under and not this . i have watch four season of this and it only get bad . it obvious that this show have big budget and it evident in every scene and it too bad that that the only thing they have cause the story be try so hard to be provocative that it get irritate . the character and screenplay be your typical american soap opera cliché after cliché thing . there no doubt that the cast have some really good actor but their skill be lose with such a poor screenplay . i do not know and maybe you have to be american to actually like this ( not mean to offend and it just different culture and state of mind than european ) but i have yet to find someone i know that actually like this show . but i guess user here be exception . i understand that everyone be entitle to their own opinion and that a lot of people like this show but i be write this review to show that there the other side too and that we do not all think this be such a brilliant show but poor and and lousy attempt to shock and nothing else . superficial a their character . if you wan na see show that will make you laugh and that will make you think and that will touch you in any way dont watch nip or tuck . if you wan na see dumb entertainment that be popular today and pathetic excuse for a character and story and christian troy as in every episode and some gross but rather impressive surgical scene than this show be great for you .