Heidi Spencer recently admitted undergoing ten surgical procedures in one day to enhance her face and body; the response by fans and media has been less than positive. Montag's tell-all interview with PEOPLE caused outlets like FOXNews to wonder: "Is Heidi on track to becoming the next Joan Rivers?" Even Montag's mother is allegedly "horrified" by Heidi's decision.

At least Montag's husband and fellow 'Hills' star Spencer Pratt is supportive. Pratt tells PEOPLE, "Nobody truly understands how she feels except her. I may not be okay with things, but it's not my call."