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Used to example a certain extremity of pain or suprise. Usually used with a number, commonly 2-10, depending on how painful / suprising the occurrence was.
Examples; "I got a tattoo on my lung, and I had to get wasted 'cause it hurt like 8 bitches in a bitch boat!"

"Then Joe came right on Bob's face! Man, that was as suprising as a bitch in a bitch boat!"
by Scott & Jimmy July 22, 2006
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