I don’t know whether it’s real. Who knows these days? When Shakespeare said “All the world’s a stage,” I don’t think he meant that everything around us is fake, like a cardboard moon or tinsel stars. These days it seems that everything is the digital equivalent of a cardboard replica, so the ever-improving nature of AI gets me doubting everything, but Gaga has shown everything before.
The general consensus is that it is genuine.

I’ll say this much:
If there was any digital editing, they’d have removed the guy’s arm and cleaned up the skin on her ass a bit. Along with the usual digital nips and tucks.
No diva allows ass acne and some random dude’s hand in the photo revealing her off-road exit unless the goal is just to put it out there.
AI simply isn’t this good yet. Every pixel of this is photo-perfect. And I’ve never seen AI create something with this resolution.
Of course eventually AI is going to make my above statements completely untrue. But if someone has their hands on the absolute cutting edge of AI photo software I would HOPE they’re not using it to make Lady Gaga’s butthole.
I completely agree with this. I haven’t seen an AI image of a person that looked anything real up close. It only resembles a photo that has been highly airbrushed. From a distance, it can look somewhat real but even then it often has a somewhat artificial look. Real skin and all of its imperfections is a hard thing to duplicate with a computer image. Someday I do expect AI will be able to do it, but I don’t think it’s that close yet.
Look like the real deal, butt zits & all – more outtakes
She did a slapdash job of cleaning her butthole beforehand
Is someone wiping her ass for her?