What about the Effect on his Self Esteem?

Sam just won the ugly dog contest for the third year in a row:

He's so ugly even the judges recoiled when he was placed on the judging table, said his proud owner, Susie Lockheed, of Santa Barbara.

"People are always horrified when I kiss him. He may turn into a prince yet. He's definitely a toad," she said. "I always thought he'd be great on greeting cards or on a commercial for Rogaine."

Sam, who's pushing 15, has something of a cult following after winning the contest — and fans' hearts — for three years running. Last year, huge crowds gathered around Sam and Lockheed at a local parade and Lockheed said she received letters and calls about her pup for weeks.