Definitely staged. What wife, upon discovering she's being cheated on, finds two friends to help her make a humourous sign like this, and then waits for them to be at McDonald's?

As for everything else? Who knows. These women do look more attractive than this man from behind, but it's hard to judge the entirety of a person from a picture, even if it's a good picture. I've seen less attractive people with more attractive people (though usually not multiple). There's a lot of ways to be attractive besides just looks.