At the end of the special, Foster was required to make a choice over who he felt most compatible with between the remaining two women in the competition.
The Littlest Groom was a part of Fox's intent to capitalize on a rising interest in little people-themed reality television shows.
American television presenter Mark L. Walberg was initially asked to serve as the special's host.
Walberg explained, "I think [the network is] going to make fun of little people, and while I’ll secretly watch, I don’t feel comfortable hosting it.
“[H]iding us behind closed doors or in funny costumes”, he observed, “will never give us the exposure needed to desensitize society to us”.