Seems to be this person:  http://www.thedoctorstv.com/videos/the-booty-that-broke-the-internet She indicates there that she would like to be fixed, but she is also getting paid for her condition via Pornhub etc.  For reference (NSFW):  http://love-randalin.tumblr.com/ She seems to be fat in the usual way, deformity or not.  Her gut sticks out and her upper arms are soft and thick.  Even if she's some kind of medical freak below the waist, it appears that she is in need of a change in her diet and her exercise habits.  I suspect that the audience for her porn would appreciate that too.  It might make her butt smaller, but thinner arms and belly would increase the contrast between her upper body and her lower body, which is what they're mainly interested in I assume.  But regardless, she will probably be a more ordinary sort of fatto in a decade or two.  I'm guessing she built a fair fraction of that butt out of Big Macs and ice cream and suchlike, oddball genetics or no. Yeah I mostly can't understand the Jamaican guy either.  But I didn't try very hard.  I guess you'd probably get used to it with exposure.