Presented by Lady Gaga, as her male alter ego Jo Calderone. The award was given after a choreographed tribute of Spears' biggest hits. She was also close to giving Gaga a kiss, a recreation of her infamous kiss with Madonna, but rejected it saying "I've done that already".
One of the band members from Massive Attack wanted Madonna to record the vocals for the hit song "Teardrop". Vowles sent the demo to Madonna and was very keen to record the vocals, and was disappointed when the two-to-one vote went in Elizabeth Fraser's favour.