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The plastic surgeons on the team were chosen for their ability to perform often startling transformations. Terry Dubrow and Randal Haworth, both board certified by the American Board of Plastic Surgery, were selected by the producers of the show to perform the multiple plastic surgical operations for each of the two aired seasons. Robert Bianco of USA Today called The Swan "hurtful and repellent even by reality's constantly plummeting standards".
Contestant Tanya dropped out of the show (on her own accord) after being caught with a mirror (which is against the rules of appearing on the series), so Merline was automatically in the swan pageant. After 9 episodes and 16 makeovers it was announced that De Lisa Styles had won the swan pageant. Journalist Chris Hedges also criticized the show in his 2009 book Empire of Illusion, writing "The Swan's transparent message is that once these women have been surgically 'corrected' to resemble mainstream celebrity beauty as closely as possible, their problems will be solved". Douglas criticized the show in her book The Rise of Enlightened Sexism for its continuation of a negative female body image, claiming that "it made all too explicit the narrow physical standards to which women are expected to conform, the sad degree to which women internalize these standards, the lengths needed to get there, and the impossibility for most of us to meet the bar without, well, taking a box cutter to our faces and bodies".
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