How a reality show about a dermatologist became such a hit is proof of how different TV has become over the last decade as audiences crave real stories. Dr. Pimple Popper with Dr. Sandra Lee is one of the greatest examples of how real some reality shows are, though probably wouldn’t have been possible a decade ago.

Because Lee is seen opening up giant zits and abscesses, it can get more than a little disgusting. From her perspective, though, she’s learned to not get grossed out by it … proving professionalism is a learned art form.