The film starts by interviewing the Sheriff of Haywood County, North Carolina at the Waynesville home of S&M enthusiast Richard Sciara—known as 'Master Rick'—where he and two of his companions had been castrating men.
[1] The programme also interviews Bill from Florida, who used a burdizzo at home to remove his own testicles to control his overactive sex drive and put the photographs online.
[1] Lucy Mangan in The Guardian sarcastically wondered whether Channel 4 was adequately serving its public service remit, saying after watching it she felt "informed, entertained and ever so slightly like I am about to have a stroke".
Mangan also noted that the programme failed to address the wider issues regarding gender and sexuality: it "told the stories without attempting to ask or answer questions about how we construct masculinity, what there might be to fear in belonging to an ostensibly privileged gender that you would rather cut off its physical markers than remain part of it, or what part an internalised cultural hatred of homosexuality might have played in the men's decisions".
[2] In The Independent, Thomas Sutcliffe remarked that the Internet enabled documentary film makers to locate "human compulsion or oddity" much easier as "prospective interviewees are stacked up on the specialist chat-room sites just waiting to receive your email".