"A woman tells her doctor, 'I've got a bad back.' The doctor says, 'It's old age.' The woman says, 'I want a second opinion.' The doctor says: 'Okay - you're ugly as well.'"
About this Quote
The punchline works because it abuses the idiom. “Second opinion” is meant as medical due diligence; Cooper re-literalizes it into a second insult, as if the doctor’s job is simply to deliver verdicts. It’s classic misdirection: the audience anticipates a different diagnosis, maybe a more sympathetic one, and instead gets an escalation that’s absurdly unprofessional. The doctor becomes a caricature of authority who treats candor as license.
The subtext is thornier. The joke feeds on a specifically gendered vulnerability: a woman’s aging body, a culture that punishes her for it, and a male professional given permission (in the comic universe) to say the unsayable. That ugliness is part of the period context too: mid-century British club comedy prized the quick, mean swerve, where the laugh often came from social transgression rather than insight. Cooper’s intent isn’t realism; it’s the sharp shock of rudeness arriving in a white coat. The laugh is partly recognition: we’ve all met “experts” who confuse certainty with care.
Quote Details
| Topic | Witty One-Liners |
|---|---|
| Source | Help us find the source |
| Cite |
Citation Formats
APA Style (7th ed.)
Cooper, Tommy. (2026, January 17). A woman tells her doctor, 'I've got a bad back.' The doctor says, 'It's old age.' The woman says, 'I want a second opinion.' The doctor says: 'Okay - you're ugly as well.'. FixQuotes. https://fixquotes.com/quotes/a-woman-tells-her-doctor-ive-got-a-bad-back-the-72535/
Chicago Style
Cooper, Tommy. "A woman tells her doctor, 'I've got a bad back.' The doctor says, 'It's old age.' The woman says, 'I want a second opinion.' The doctor says: 'Okay - you're ugly as well.'." FixQuotes. January 17, 2026. https://fixquotes.com/quotes/a-woman-tells-her-doctor-ive-got-a-bad-back-the-72535/.
MLA Style (9th ed.)
"A woman tells her doctor, 'I've got a bad back.' The doctor says, 'It's old age.' The woman says, 'I want a second opinion.' The doctor says: 'Okay - you're ugly as well.'." FixQuotes, 17 Jan. 2026, https://fixquotes.com/quotes/a-woman-tells-her-doctor-ive-got-a-bad-back-the-72535/. Accessed 7 Feb. 2026.








