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Hillary Clinton's Republican challenger is getting personal and it's not pretty: He says the senator used to be ugly - and speculates she got "millions of dollars" in plastic surgery.

"You ever see a picture of her back then? Whew," said John Spencer of Clinton's younger days.

"I don't know why Bill married her," he said of the Clintons, who celebrated their 31st anniversary this month.

Noting Hillary Clinton looks much different now, he chalked it up to "millions of dollars" of "work" - plastic surgery.

"She looks good now," he said.

Spencer's bizarre comments came during a conversation with a reporter seated beside him and his wife, Kathy, on the 10:30 a.m. JetBlue flight Friday to Rochester, the site of the race's first debate.