Nip/Tuck is written by fan fic writers.
It was the cutting that cemented it, but then everything fell into place! The rape of a male character, his trauma mysteriously gone after having a threesome! The anguish of the son who's been having sex with a woman who was once a man, goes to a tranny bar, beats up the pre-op he picks up for having a dick, then gets beaten up himself! The casually sexual bisexual guy!
But mostly, the cutting.