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What is she needs some work done?
An ironic double entendre that a guy would say to a friend about a hot girl he sees. It jokingly suggests she needs to lose weight or have some cosmetic surgery, but it actually means he thinks she needs to be fucked. Loosely based on the porn theme of a male porn star dressed as a contractor showing up and offering his "services" to the female actress posing as a lonely housewife.
Dude, look at her, a total smokeshow. She looks lonely. I think she needs some work done.