There is significant debate regarding the video's legitimacy. While it originated from
: Some community members argue that while the viral "Final Round" may have been exaggerated or faked for shock value, other videos under the same brand featured real procedures or extreme body modifications recorded at "BME Fest" events. www.reddit.com Cultural Impact and Legacy
The video reached its height around 2007–2008, often appearing alongside other shock sites of that era like "2 Girls 1 Cup".