The main plot deals with Eric Cartman's efforts to recover an incriminating photograph that may call his sexual orientation into question, whereas the subplot, which focuses on Butters Stotch, explores childhood gay conversion therapy.
Kyle then deceives a horrified Cartman into taking a similar picture with his and Butters's positions switched, which he claims will "cancel out the gay polarity."
The statement prompts a shared laugh between the two, though confuses Butters due to his naive nature and lack of awareness of Stephen's past homosexual behavior.
Cartman refuses, claiming the task to be excessively difficult and decides to photoshop the picture so it would be Kyle with the penis in his mouth, thus shifting potential accusations of homosexuality to him.
Suddenly, Mr. Mackey comes to the classroom and relays a message to Cartman from his mother: she found the original photograph under his desk at home.
The scene in which Cartman tells the boys that he put Butters's penis in his mouth was cut from the sixth season episode "Asspen".
The same happens here, as he plays a prank that has unintended consequences – and gets in even bigger trouble when he believes Kyle's reasoning behind "canceling it out".The episode was released on the two-disc DVD collection A Little Box of Butters.
Moreover, visual depictions of suicide, while justified by the storyline, were also deemed strong in nature, when the M classification only allows for moderate impact.