Smirnoff was a performer on the third season of the ABC series Dancing with the Stars with celebrity partner Mario López. They finished in second place, losing to the team of Emmitt Smith and Cheryl Burke. Smirnoff returned to the show on March 19, 2007 for Season 4, this time partnered with Billy Ray Cyrus, country singer and Hannah Montana star. The pair was the seventh to be eliminated from the competition on May 8, 2007. Her partner for Season 5 of the show was current five-division world champion boxer, Floyd Mayweather, Jr. On October 16, 2007, Karina and Floyd were the fourth couple eliminated from competition and came in 9th place. She returned for Season 6, partnered with singer Mario and finished in 5th place. In Season 7, she was partnered with chef Rocco DiSpirito and they were the fourth pair to be eliminated with a finish of 9th place for the second time.
For the eighth season, Smirnoff's partner was Apple Inc. co-founder Steve Wozniak. They were eliminated in the fourth round on March 31, 2009, along with Holly Madison and her partner Dmitry Chaplin. For the ninth season, she was partnered with singer Aaron Carter. They were eliminated on November 10, 2009, placing fifth. In the eleventh season, she was partnered with The Situation from MTV's reality TV show Jersey Shore. They were eliminated in the fourth week. In the twelfth season of Dancing with the Stars, she was partnered with movie star Ralph Macchio. They were eliminated in the semi-finals.
Smirnoff appeared on the thirteenth season of Dancing with the Stars, where she was partnered with All My Children actor J. R. Martinez. Smirnoff and Martinez ended up winning the competition against Cheryl Burke and Rob Kardashian, who was known for his family's television show, Keeping Up with the Kardashians. This was the first time Smirnoff had advanced to the finals since her inaugural season in season 3 with Mario López. For the fourteenth season of Dancing With The Stars, Karina was partnered with singer Gavin DeGraw. They were eliminated in week 5. For the fifteenth season, she will be partnered with season four winner, Apolo Anton Ohno.
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