The book is considered the first popular bestselling kiss-and-tell American political autobiography published in the United States and caused a sensation when it was released.
In 2015, DNA testing proved the book's central claim that Harding was the father of Britton's daughter Elizabeth Ann Blaesing.
In his book, The Strange Deaths of President Harding, Indiana University history professor Robert H. Ferrell states that there are similarities between phrases in The President's Daughter and Wightman's other writings, leading Ferrell to conclude that Wightman had substantial, if not complete input into the content of the book.
Prior to its release, the New York Society for the Suppression of Vice (the same organization once headed by Anthony Comstock) arranged for the New York City Police to seize both the unbound printed sheets and the zinc printing plates; all materials were returned to the Elizabeth Ann Guild.
Prior to publication, Congressman John Tillman (D-Arkansas) introduced a bill into the United States House of Representatives attempting to ban the sale of the book stating that the work was "a blast from Hell".