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
Cumbria shootings
Cumbria shootings
Lady Gaga