Telepathic Surgery began life as a concept album; the band initially set out to create a 30-minute sound collage.

The plan was later scrapped; however, the remnants of this original idea are evident within the album's loose, meandering structure and the epic "Hell's Angel's Cracker Factory".

[8] "Chrome Plated Suicide" stands out as one of the group's most accomplished early recordings, possibly due to being based on Guns N' Roses' critically acclaimed "Sweet Child o' Mine".

The album was reissued and remastered as part of the Finally the Punk Rockers Are Taking Acid boxset in 2002, which included the extra tracks from the CD but "Hell's Angels Cracker Factory" was amended to just over three minutes in length.

The reissue is on 3 sides and contains the bonus track "Hell's Angels Cracker Factory", a 23-minute song with backward vocals and long guitar solos.