Twenty-five years after her debut album, the star is still loving life as a ‘continual working girl’. She talks about menopause, mastectomy and her bizarre failure to crack her native America

After Anastacia had a double mastectomy in 2013, she began to joke about it. “It was wild to look at myself. I said: ‘My boobs look like this!’” She peers at me with her eyes screwed shut. We are sharing a sofa in a photographic studio in London. I’m not sure what she means, but she belts out, “No eyeballs!” (Typically, nipples come towards the end of reconstructive surgery.) Even in hospital, “I would make jokes and be funny,” she says. “I’m lucky.” Lucky isn’t how many people would feel after getting breast cancer for the second time, but preventive surgery was her choice and, she says, “I can accept it when I find humour in it. Being able to take the mick out of myself and my toxic titties! – See! There you go! – it takes the sting out of it.”

Anastacia has always been like this, she says. Back when she used to break her older sister Shawn’s dolls, “cos the arms didn’t go in a certain direction”, her mum tried to punish her. She gave Shawn brand new dolls, and Anastacia the broken ones. But Anastacia was in her element. “I played hospital. I was like ‘Whee! Whee!’” she says, bouncing her hands, busily working imaginary dolls. She made them have a great time despite their mutilations, scribbled-on faces and brutally cut hair. “Which is constantly how my life is. I was born with that in me, and it amplified as I got older and realised: ‘Oh yeah, that’s a better way to live than worrying about things.’”