Gaga has called herself a perfectionist when it comes to her elaborate shows . Her performances have been described as " highly entertaining and innovative " ; the blood-spurting performance of " Paparazzi " at the 2009 MTV Video Music Awards was described as " eye-popping " by MTV News . She continued the blood-soaked theme during The Monster Ball Tour , causing protests in England from family groups and fans in the aftermath of the Cumbria shootings , in which a taxi driver had killed 12 people , then himself . At the 2011 MTV Video Music Awards , Gaga appeared in drag as her male alter ego , Jo Calderone , and delivered a lovesick monologue before a performance of her song " You and I " . As Gaga 's choreographer and creative director , Laurieann Gibson provided material for her shows and videos for four years before she was replaced by her assistant Richard Jackson in 2014
2009 MTV Video Music Awards
2009 MTV Video Music Awards
Lady Gaga