A new episode of Botched premiered last night, which got fans thinking — do the patients on the show have to pay for surgery? It's a valid question, considering most reality shows pay their contestants a stipend of some kind.

The show — which first premiered back in June 2014 — revolves around people who have had faulty plastic surgery procedures done. Hoping to reverse the damage, plastic surgeons Terry Dubrow and Paul Nassif meet with the patients to discuss their options and follow them through an intense recovery period before revealing the — ultimately — successful aftermath.

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According to a 2015 article from Allure magazine, "E! pays each patient an appearance fee and the patient uses that to pay a portion of the doctor's fee." Terry added, "We have to get paid to do the surgery. For four days a week we do something for the show." The rest of their time is spent with private patients and of course, their families.

With a full schedule on their plates, though, it's often difficult to balance work and family life. In the same article, Terry's wife Heather joined him on the interview because she said she didn't get to see much of him. At the time, 6,000 applicants submitted to be on the show, compared to just 500 the previous year — with just 46 approved. Plus, their schedule expanded from eight episodes per season to 20 episodes per season.

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Unfortunately, not every surgery goes according to plan — even the second time around too. In 2016, Paul was sued by former patient, Eric Klein, after he claimed a rhinoplasty (nose job)
procedure performed by the TV doc left him unable to blink. Yikes — we really hope the network gave him a bit more cash to compensate for that!

Botched airs Sundays at 9 p.m. on E!

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