[3] The episode was written by co-executive producers Elizabeth Sarnoff and Kyle Pennington and directed by editor Mark Goldman.

On the island, after John Locke (Terry O'Quinn) falls into the chamber with the wheel during a time jump,[N 1] the survivors — James "Sawyer" Ford (Josh Holloway), Juliet Burke (Elizabeth Mitchell), Miles Straume (Ken Leung), Daniel Faraday (Jeremy Davies) and Jin-Soo Kwon (Daniel Dae Kim) briefly arrive to a time when there is an ancient statue standing on the island.

[N 3] Because Sawyer has successfully defused the situation, Horace allows the group to stay for two weeks and look for the other crew members of their ship, when in reality they are waiting for Locke to return with the survivors who left the island.

Following an argument between them, Horace gets drunk and hurls sticks of dynamite at trees and Amy goes into early labor; Juliet successfully delivers the baby, the first that survived in all her time on the island.

Horace believes that Amy is not yet over her deceased husband, however Sawyer reassures him by stating that three years is enough time to get over someone, referring to his relationship with Kate Austen (Evangeline Lilly).

The next morning, he receives a call from Jin, who has found Kate, Jack Shephard (Matthew Fox), and Hugo "Hurley" Reyes (Jorge Garcia) in the jungle.

Executive producers Cuse and Lindelof claimed in a podcast that the original script for "Confirmed Dead" listed Charlotte's birthday as being in 1970 and that Mader had it changed because she did not want people to think she was significantly older than she actually is.