The Ultimate 7-Step Guide: How To Get Cast On E!'s Botched TV Show (2025 Update)

Are you a candidate for Dr. Terry Dubrow and Dr. Paul Nassif’s life-changing revisional plastic surgery? The reality of getting on E! Entertainment Television’s long-running hit series, Botched, is a highly competitive and rigorous process that combines medical necessity with compelling reality television storytelling. As of December 2025, the most crucial update is that the official casting website currently indicates a pause in active casting, but this guide provides the exact steps and preparation you need to take so you are ready the moment casting reopens.

The show is not just about fixing a surgical complication; it's about a patient’s journey, their emotional struggle, and the dramatic medical challenge presented to the world-renowned surgeons. Securing a spot requires more than just a "botched" procedure—it demands a great story and a case that the doctors can realistically and safely correct.

The Official Botched Casting Process and Status Update (2025)

The first and most critical piece of information for any potential patient is the correct way to apply. Dr. Terry Dubrow and Dr. Paul Nassif's private practices do not handle casting for the show; all submissions must go through the network's official casting team.

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The Official Application Portal

The only official gateway to apply for the reality television series Botched is through the dedicated casting website.

• Official Casting Website: botchedcasting.com
• 2025 Status: As of today, the official site states there is no active casting activity for Botched. This means the show is likely on hiatus, between seasons, or the casting directors have filled all current spots.
• Actionable Tip: You must check the official site regularly for the moment casting reopens. Do not be discouraged; the show has a long history of intermittent casting calls.

The Essential Eligibility Criteria

While the casting team is looking for a compelling story, the doctors are looking for a medically viable case. Your application must demonstrate that you meet the core eligibility criteria for revisional plastic surgery.

• You must have a previous cosmetic procedure that resulted in a "botched" outcome, causing physical and/or psychological distress.
• The surgical complication must be a case that Dr. Dubrow (body and breast) or Dr. Nassif (facial plastic surgery) believes they can safely and successfully correct.
• You must be willing to discuss your full medical history, including all previous procedures, with the production and medical teams.
• You must be willing to appear on a major network reality series and share your personal, often emotional, story with the public.

7 Tips to Create a Standout Botched Application

The casting director receives thousands of applications. To distinguish yourself from the crowd, your submission must be detailed, dramatic, and medically clear. The goal is to make the producers and the doctors say, "We have to meet this person and fix this."

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1. Master the Art of the "Self-Tape" Video Submission

The video is your chance to sell your story. Do not treat it like a casual email. It is a self-tape audition for a reality show. [cite: 7, 5 (from step 3)]

• Be Clear and Concise: Introduce yourself, state the procedure that went wrong (e.g., Brazilian Butt Lift, Rhinoplasty, Breast Implant Revision), and clearly explain the physical result.
• Show the Emotional Toll: The most compelling patient story is one that is "heartfelt and courageous." Discuss how the botched procedure has negatively impacted your life, your confidence, your job, or your relationships. This is the "great television moment" the show is built on. [cite: 15 (from step 2)]
• Focus on the Deformity: Clearly show the surgical complication on camera. Use good lighting and ensure the area of concern is visible.

2. Be Meticulous with Medical Documentation

Dr. Dubrow and Dr. Nassif are not just TV personalities; they are board-certified surgeons. They must ensure your case is fixable and that you are medically cleared for revisional surgery. Your application should include:

• A detailed list of all past cosmetic procedures (dates, doctor names, and locations).
• Any available medical records, including surgical reports, pathology results, and diagnostic imaging (X-rays, MRIs, Ultrasounds).
• A clear explanation of why previous corrective attempts (if any) have failed.

3. Provide High-Quality Before-and-After Photos

The visual evidence is paramount. You need to provide a clear contrast between your pre-surgery self and the current "botched" result. Ensure your photos are:

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• Current: Recent photos (within the last 3 months).
• Clear: High resolution, well-lit, and focused on the area needing correction.
• Multiple Angles: Front, side, and close-up views of the specific deformity. For a breast revision, for example, this means photos of the chest from different perspectives.

4. Understand the Doctors' Specialty and Limitations

The doctors often reiterate that they cannot fix every case, and they are especially wary of patients with body dysmorphic disorder or unrealistic expectations. [cite: 6 (from step 3)]

• Dr. Nassif's Expertise: Primarily focuses on facial plastic surgery, often tackling complex revisional rhinoplasty and face/neck complications.
• Dr. Dubrow's Expertise: Primarily focuses on body and breast procedures, including complex breast implant removal, tummy tucks, and complications from procedures like a Brazilian Butt Lift (BBL).
• Disqualification: Cases that are deemed too risky, medically impossible to correct, or involve a patient who is not mentally prepared for the process are typically rejected.

5. Highlight the "Unique" Factor of Your Case

The show thrives on unique and dramatic patient stories. Think about what makes your case different. Is it a rare surgical complication? Was the initial procedure performed by an unlicensed practitioner? Is the deformity a result of an extreme, trendy, or unusual cosmetic procedure? Highlight the shock value, the rarity, or the extreme nature of your surgical mishap.

The Botched Application Timeline: What Happens Next?

Once you submit your application through the botchedcasting.com portal, the process moves into several distinct phases. The timeline is highly variable and depends on the show’s production schedule and the urgency of your medical case.

1. Initial Review: The casting director and production team review the thousands of submissions, filtering for compelling stories and clear medical issues.
2. First Contact: If your story is selected, a member of the casting team will contact you, usually via email or phone, to conduct a preliminary interview.
3. Medical Vetting: Your case will be presented to the show's medical producer and, eventually, to Dr. Dubrow and Dr. Nassif for a feasibility review. This is where the patient's medical history and the possibility of a successful revisional surgery are scrutinized.
4. Filming and Surgery: If selected, you will be flown to California (if you are an out-of-town patient) to meet the doctors in their Beverly Hills office, undergo the surgery, and film the entire patient journey for the E! network.

Getting on Botched is a long shot, but for those suffering from the physical and emotional trauma of a surgical complication, it represents a chance for a new beginning with two of the world's most talented revisional plastic surgery experts. Be prepared, be honest, and be ready to share your courageous journey.