The album's 12 tracks are covers of songs written and originally performed by men, reinterpreted by Amos from a female point of view.

Amos created female personae for each track (one song featured twins) and was photographed as each, with makeup done by Kevyn Aucoin.

In the United States the album was issued with four alternative covers depicting Amos as the characters singing "Happiness Is a Warm Gun", "Strange Little Girl", "Time", and "Raining Blood".

They were "Fear of a Black Planet" by Public Enemy, "Hoover Factory" by Elvis Costello, "I'm Sick of You" by Iggy Pop and "Marlene Dietrich's Favorite Poem" by Peter Murphy.

[13] She also mentioned later in a 2012 interview that, with drummer Matt Chamberlain, she had recorded "Growin' Up" by Bruce Springsteen for this album, but it has also not been released although she has played it live.