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The hour-long show follows her matchmaking at Millionaire's Club. Each episode features her matchmaking two millionaires. First, millionaire clients submit a biographical video profile on a DVD describing the type of partner they want. Stanger then meets them individually to better understand their desires and welcome them to the club. She's been called "The Simon Cowell of Dating" and makes very quick, very direct comments. "I am not paid to hide my true feelings," she said. Her "casting calls" or "recruiting sessions", where she screens men and women, involves her making brutal comments on their dress and appearance. She told one woman she had a beautiful face but could not meet her millionaire because she was 10–15 lbs overweight. "I can't do much for women over 45," Stanger said in an interview, "and if they're overweight, it's almost impossible." She told another woman to take off her wig, then suggested she come back after she got hair extensions.

The millionaires and 30–40 potential dates first meet at a cocktail party Stanger hosts called a "VIP mixer", where they mingle and the millionaires get to evaluate the candidates. The millionaires choose their top two candidates and have 10-minute "mini dates", after which they pick the candidate they like best. Stanger announces the choices to the group, and then the millionaires set up their "master dates".

In February 2012, she was one of a group of celebrities who walked a catwalk in red dresses for the "Heart Truth Red Dress Collection" show, part of New York Fashion Week. She wore a Marc Bouwer dress.

On September 25, 2011, during a taping of Watch What Happens Live hosted by Andy Cohen, Stanger made some controversial remarks. When responding to a question from a gay man about a long-distance open relationship, she said, "There is no curbing you people". She later told a viewer who Skyped in, "You are very handsome, I thought you were straight." She went on to explain that she meant he was not "queen-y". Stanger also made comments about Jewish men and smart women that viewers and critics deemed offensive.

On August 14, 2010, Stanger announced via Twitter that she was ending her relationship with Friedman, stating, "I just ended my relationship with Andy. It hit me really hard that I want kids in my life. You have to agree on the non-negotiables." She has also stated in the season 5 finale of Millionaire Matchmaker that Friedman was like a "best friend" to her and that passion was lacking in their relationship.

In April 2009, Patti Stanger was hired by Clear Channel subsidiary Premiere Radio Networks to host a 4-week special titled P.S. I Love You for XM Satellite Radio. The live call-in program was simulcast on Clear Channel owned MIX channel 22 and The Pink Channel on channel 24, Sunday evenings. After a month's hiatus, the program was returned to the schedule on a semi-regular basis, until it was moved to Thursday evenings in July 2009 and made a permanent fixture. Stanger continues to host P.S. I Love You on Thursday nights from 4 PM to 6 PM Pacific time on both Mix and The Pink Channel.

In 2003, Stanger started dating Andy Friedman, a real-estate executive whom she met through another matchmaker. On July 22, 2009, Lalate.com announced that Friedman had proposed on May 31, her birthday. They did not agree on a date for the wedding, although episodes of season three of The Millionaire Matchmaker showed Stanger engaged in wedding planning activities, and she spoke openly to the media about details of the wedding.

Stanger's first book on dating was published in 2009. It is entitled Become Your Own Matchmaker: 8 Easy Steps for Attracting Your Perfect Mate.

In 2008, Stanger signed a deal to have her own reality show called Millionaire Matchmaker on the Bravo TV Network. Stanger stars in and produces the show.

The show ran from January 22, 2008 – March 29, 2015.

Stanger is a third-generation matchmaker (see shidduch). Prior to founding her business in January 2000, she worked as the Director of Marketing for Great Expectations.

In 2000, Stanger stated that "successful men in the dating arena needed a private, exclusive club where they could come to find their beautiful and intelligent wives."

Stanger was born and grew up in Short Hills, New Jersey. She was adopted by Ira and Rhoda (Rhoda was also a matchmaker), and was raised in the Jewish faith. She graduated from Millburn High School in 1979 and received a Bachelor of Fine Arts from the University of Miami in 1983. She currently lives in Los Angeles.

Patricia "Patti" Stanger (born May 31, 1961) is an American businesswoman and reality television personality. She is best known for starring in and producing her own matchmaking reality series, The Millionaire Matchmaker, on Bravo TV. She is also founder and CEO of Millionaire's Club International, Inc., a professional matchmaking service for millionaires.