And proving that even after 18 months of controversy, where she's worn everything from a meat bikini to a telephone on her head, she can still shock us, she arrived at the event looking almost demure, wearing a regal gown (well, she was the queen of the night).
Addressing the crowd while picking up her third prize, she announced:
"I was so nervous for tonight that I would let my fans down."
No chance of that!
Here's the full list of winner from the night:
Collaboration: Lady Gaga featuring Beyonce, "Telephone"
Female video: Lady Gaga, "Bad Romance"
Male video: Eminem, "Not Afraid"
Hip-hop video: Eminem, "Not Afraid"
New artist: Justin Bieber featuring Ludacris, "Baby"
Pop video: Lady Gaga, "Bad Romance"
Rock video: 30 Seconds to Mars, "Kings and Queens"
Dance music video: Lady Gaga, "Bad Romance"
Art direction: Florence and the Machine, "Dog Days Are Over"
Choreography: Lady Gaga, "Bad Romance"
Cinematography: Jay Z and Alicia Keys, "Empire State of Mind"
Direction: Lady Gaga, "Bad Romance"
Editing: Lady Gaga, "Bad Romance"
Special effects: Muse, "Uprising"
Breakthrough video: The Black Keys, "Tighten Up"
Video of the year: Lady Gaga, "Bad Romance"



































