- Creator Backlash: Trey Parker and Matt Stone consider this one of their worst episodes. Their feeling was that trying to do two strange plots at once, rather than having one straight plot and one joke subplot, was just "putting a funny hat on a funny hat" and that the Oprah subplot would have been funnier in an episode with the boys, not Towelie.
- What Could Have Been: The episode was originally going to be a spoof of Intervention with everybody in South Park trying to get Towelie into rehab, but the writers didn't like how the episode was developed and scrapped it, leaving them with even less time than usual to create this episode from scratch. The Intervention parody plot was eventually used in Season 14's "Crippled Summer" as the B-plot.
Trivia / South Park S 10 E 5 A Million Little Fibers