This is the second time that Blanche considers having plastic surgery, although the first time (in season two's "Whose Face is This Anyway?") she explains at the end of the episode that the cosmetic surgeon's interest in her convinced her that her body was fine the way it was.
Edit: Technically her exact words were that if she could land a doctor, she might as well wait and let him pay for [her plastic surgery].
Lillian: I was quite a looker back in the day…almost as pretty as you.
Blanche: Why, thank you!
Lillian: Of course, I had bigger breasts!
Blanche: (sets some photos in front of Rose) I was thinking of having my breasts done like hers.
Rose: Alright, Blanche, but do you think black really suits you?
Rose: (about her adolescence in St. Olaf) Not one boy was interested in my mind.
Blanche: Get out of here!
Administrator Cummings: Problems, problems! The world is bringing me problems! And you are?
Sophia: We are the world
Sophia: Why do we let these things happen? Why don't we care for our elderly like the Japanese? Why are there 17 sets of hooters on the coffee table?
Blanche: Those are mine, Sophia.
Sophia: Oh well then let me put on my big surprised face.
Sophia: What's shaking?
Rose: Blanche's breasts, that's why she's having them...
Dorothy: Shutup Rose.
This episode was videotaped on March 31, 1989.
Ellen Albertini Dow is probably best known as the rapping old lady in hit film, The Wedding Singer.
This title is a pun on the 1982 film Sophie's Choice.
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