The episode was written by series co-creator Trey Parker and was rated TV-MA LV in the United States, due to language and violence.
However, Cartman takes advantage of the situation to shout vulgar antisemitic remarks at Kyle's parents Gerald and Sheila Broflovski.
Cartman decides to write to Chris Hansen of Dateline NBC, asserting that he wishes to clarify the "struggles" he faces daily due to his "disorder", however he intends to make various anti-Semitic remarks while being commended for his bravery.
At a congratulatory dinner beforehand, he inadvertently blurts out embarrassing true details from his past: such as a homosexual encounter he had with his cousin, and his crush on "Patty Nelson".
[4] They had many discussions with Comedy Central about the show's content; one suggestion put forward was to air it at midnight, as a special episode.
[5] Parker noted that occasionally, when producing episodes such as this, Comedy Central would view early animatics and get nervous about the content.
[4] The song that Cartman is singing after he finds out that Tourette's exists is inspired by "(I've Got A) Golden Ticket" from Willy Wonka & the Chocolate Factory.
Shortly before the episode was produced, a man featured on the program committed suicide by gunshot, leading to a press frenzy.
[6] Parker and Stone noted that while they liked the program, they felt with its growing popularity the show's creators were increasingly overstepping their boundaries to catch predators.
"[9] On the negative side, BuddyTV contributor Oscar Dahl called the episode a "misfire", criticizing it as "disjointed and a little off-putting.
[2] The President of the TSA said, "we are actually surprised it took the creators so long to use TS as comedy fodder in this program, since no disability, illness or controversial topic is off limits to them.
After viewing the episode for the first time, Hansen enjoyed it, and recalled that his sons and all of their friends suddenly thought that he was "cool" because he was parodied on one of their favourite shows.