The album is a live recording of her one-woman show of the same title.

[1] In Bernhard's live performances she satirized celebrity culture while commenting on events of the time.

[2] Among the topics she addresses: the death of Princess Diana, Mariah Carey, Courtney Love, modern technology, religion, the world of high fashion and relationships.

[3][2] The CD combines comedic monologues and musical performances taken from the live show.

Nelson also produced "Perfection" on Sandra Bernhard's 2008 album "Everything Bad & Beautiful".