Spain is aghast at a new Extreme Makeover reality show in which participants are given free plastic surgery. According to The Guardian, last week's debut of Cambio Radical (Radical Change) has unleashed a barrage of criticism from consumer groups, feminists and doctors.

"Javier de Benito, president-elect of the international plastic surgery society and consultant to the show, said he was surprised at the outrage. 'It's a very professional, respectful program,' he said. Surgeons select the patients and care is taken to avoid upsetting scenes."

"So why the outcry? 'Spain likes controversy,' he said. 'We've also been called racist because we didn't choose an immigrant.'"

Spain is the largest market for plastic surgery in Europe. The most popular procedure was breast implants, with over 30,000 implants fitted last year. As with the US, liposuction is the next most favored procedure.