The music video was filmed in the last days of September in Stockholm, Sweden. A live video from London has been used in Australia and New Zealand to promote for the song until the official music video was released on November 25. It was directed by Jonas Akerlund.

The video starts with views from the city and then a little TV is turned on in Pink's bedroom and Pink appears in white. The song starts, and Pink is shown in the bedroom lying on the bed alone, and a girl is shown walking out of the door of the room. As the first verse starts, Pink is shown sitting on a sofa in a party where her doppelgänger is drunk and flirting with different girls and guys. Pink's doppelgänger is shown in the bathroom, throwing up. Pink enters the bathroom and sits beside her doppelgänger who seemed disturbed and then walks out. Pink is now lying on the bed, her doppelgänger calls her up, but Pink doesn't answer her cell. As the chorus begins, Pink is shown singing on her bed in her bedroom and on the sofa in the party. And then disturbing pictures of a white room where Pink is dressed with white outfit and wearing a white pageboy wig are shown. Verse 2 is sang in the same location. As the chorus starts again, Pink is shown walking in the room where the party was held where everybody is blacked out and drunk, including her doppelgänger. Various scenes from the video are then shown and the video ends with one of the Pinks walking out of the door of the bedroom leaving the other Pink alone.

The most controversial scene in the music video is a lesbian scene where Pink is making out with her doppelgänger. The scene starts as the bridge starts, (Comin down, comin down, comin down...) and different clips of the love scene are shown at the end of the song. When shown on television, this scene is often cut or replaced.