Parents guide

Frequent strong sexual content, including graphic sexual references.

Sex scenes are rampant in this series that often features a variety of sexual situations. Situations have featured casual sexual relationships, sex with multiple partners, prostitution, and sexual situations such as incest, necrophilia, bestiality, and pedophilia.

Rape is a major theme during Season 3 and 4 due to a serial rapist/killer character called The Carver.

Surgeries revolving around sexual organs are frequent such as breast implants and penis enlargements, as well as genital reconstructive surgeries.

Sexual fetishes often become subject matter explored in the series, such as group sex. In later seasons autoerotic asphyxiation is depicted due to a main character trying it out after hearing of it from a patient.

Nudity in the series is limited to bare buttocks and brief glimpses of bare breasts with the nipples being covered.

Surgical nudity is depicted.

Shows all of the surgeries in extremely realistic, graphic detail.

Violence in the program, outside of surgical procedures, is also quite graphic and featured things as trivial as a scuffle to things as extreme as self-inflicted injuries, murder, rape, torture, dismemberment, necrophilia, and even castration in one episode.

Although the F Word was never heard, crass sexual references to sexual activity (i.e.: "cum", "cock", "pussy", and "dick") were often heard.

The most frequent profanities in the series were "goddamn", "shit", and "asshole".

Insults toward people such as "faggot" and "cocksucker" were heard on occasion.

Frequent alcohol consumption, some smoking.

One storyline featured a main character becoming a heroin addict. Cocaine and marijuana are used semi-frequently. Brief use and references to other substances as well (ecstasy, meth, prescription pills)

This is a very heartbreaking and intense show.

Very violent show.

The series is very emotionally intense.

Some of the killers, called The Carver, can be frightening to some people.