A bright blue paper thong and oversize shower cap, however, are a whole new departure.
Thankfully, the one-time glamour model wasn't wearing the rather bizarre ensemble for fun.
Barely there: Katie shows off an oversize thong and shower cap as she prepares for surgery
Instead, she was preparing to have her breasts reduced at an American hospital.
Surgery or not, Katie, 31 seemed rather concerned about the size of her bottom in the unforgiving underwear.
Does my bum look big in this? Katie makes some readjustments
She can be seen twisting back over her shoulder to examine her exposed derriere and then readjusting her thong.
The scenes were part of reality show Katie & Peter: The Next Chapter, which aired last night.
Downsizing: The one-time glamour model thought her breasts were too big
Katie and husband Peter Andre were shown travelling to LA so she could have the surgery, which also included dental work.
While his wife was in hospital, Peter, 35, recorded some new tracks for his latest album.
Shoulder to cry on: Peter Andre is seen supporting his wife during surgery
The former glamour model, who has reinvented herself as a children's author and TV star, has had her ample bust reduced to a 32C.
It came after extensive surgery last year, including a nose job and her first breast reduction which left her hating her body.
Her breasts had previously been a 32G.
Feeling woozy: Katie has to be propped up as she goes in for dental work
Footage of Peter comforting Katie during the procedures are likely to scotch rumours that their marriage is on the rocks.
The couple have two children together and Peter has taken over the care of Katie's son Harvey, from an earlier relationship.
They met in 2004 while taking part in the ITV show I'm a Celebrity, Get me Out of Here.
Going under: She was also rather woozy after having anaesthetic
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