I just started watching this after a few recommendations from MAF. I've watched the first 4 episodes, and the show is absolutely ridiculous and over-the-top. The writers have to know how ridiculous it is, and although there are some intentionally humorous bits, some of the more dramatic plotlines are played so straight as to be even funnier. This is going to be high camp in 10 years.
So after the first 4 episodes, we have a several episode plot arc about a gerbil getting flushed down a toilet in a fit of anger, snorting coke off of a slut's back during sex, a "teenager" (with permanent 5 o' clock shadow) trying to circumcize himself via instructions from a self-circumcision website, over-the-top cringey surgery scenes, multiple sex scenes per episode, child molestor druglords getting surgery, liposuction disasters, sex, awkward breast examinations, feeding corpses to gators, botox to the dick, sex with old people. . .and I can probably go on and on. I have no idea how long the show can maintain this level of bizarro quality, but 4 hours in, this box set has already paid for itself. I honestly don't know what to expect next. This is my first fx show, and I will never again doubt that they can do awesome television. I will check out the Shield.