The book was written for the stage by Ron Cowen and Daniel Lipman, adapted from Alan Bennett's original screenplay.

[5] The production was directed by Richard Eyre, with musical staging by Stephen Mear design by Tim Hatley and orchestrations by William David Brohn.

The production was directed by Wayne Bryan and featured Justin Robertson, Larry Raben, Tracy Lore, and Mary Stout.

[12][13] In February 2018, the first German-speaking production, directed by Christian Brey, will open at Musiktheater Linz, Austria under the title Betty Blue Eyes - Das Musical mit dem Schwein.

Featuring 20 songs on the physical CD[15] with an additional two bonus tracks available as digital downloads only[16] from the London production of Betty Blue Eyes, the cast album was released by First Night Records[17] on 3 October 2011.