One of my favorites! Male nudity (hey, there's no gratuitous female nudity for once!), bondage, sex toys, guns, mental institutions, drugs, transvestites, insanity, catatonia, and crime are topics you don't want to see, don't watch it. And you're probably not going to show it to your kids.
The lighting is a bit questionable, but the acting is not! I find this one of the funniest movies I've seen in a long time. It is black humour at very high level.
Clearly many rank it very low. I bought the DVD as a remainder when Blockbuster went bankrupt. Every time I watch it, I love it!