The 'Born This Way' hitmaker – whose real name is Stefani Germanotta - admits she throws herself so completely into her outlandish costumes and performances, her outfits have become as much a part of her as her vital organs.
She said: "The lines for myself have become so blurred now, I know not the difference between a moment of performance and a moment of honesty. If you were to ask me to remove my Philip Treacy hat at a party, in truth it is the emotional and physical equivalent of requesting I remove my liver.
The eccentric singer insists the way she presents herself is her "destiny" and she is always part of a show that celebrates her own "uniqueness".
She wrote in her column for V magazine: "Art is a lie. And every day I kill to make it true. It is my destiny to exist halfway between reality and fantasy at all times. They call me 'theatrical,' but I posit profusely that I am theatre, and that theatre is me. I am a show with no intermission.
"It is this thing that summons me from the depths of reality and reminds me that the power of transformation is endless. That I (we) possess something magical and transformative inside- a uniqueness and specialness waiting to be exiled from the depths of our identity. "