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- The Baha Men perform two different variations of their 2000 hit "Who Let the Dogs Out?" in the episode:
- Near the beginning, Marge is driving with Maggie in the car and turns the radio to a station that plays music for babies. The song playing is "Who Left the Milk Out?" which Marge loves, but Maggie can't stand.
- Over the closing credits, the song playing is "Who Let Her Jugs Out?", referring to Marge's flashing her breasts to the crowd near the end of the episode. The lyrics include Homer saying "D'oh!" several times.
- During the song "You're a Bunch of Stuff", where the male customers of Luigi's sing praises to Marge's augmented figure:
- Comic Book Guy compares Marge to "X-Men #3 in a Mylar bag", which he would see as something rare and extremely valuable. The real X-Men #3 comic came out in early 1964, and Mylar bags are commonly used to protect comic books from deterioration and to preserve their value.
- Snake Jailbird compares Marge to a brand new muscle car with Mag wheels. Among muscle car enthusiasts, magnesium alloy wheels are a highly desirable accessory.
- The Sea Captain says Marge is like Jacqueline Bisset in his "fav'rite film, The Deep". The film's opening scene (which has achieved iconic status) shows Bisset swimming underwater wearing only a thin white T-shirt and bikini bottoms, putting her figure on impressive display.
- The musical clip that plays when the Stomach Staples Center is first viewed is from the theme to Ben Casey, a medical drama which ran on ABC in the '60s.
- The Chicago Tribune newspaper with the front page banner headline Dewey Defeats Truman actually appeared the day after the presidential election in 1948. The printed part of that newspaper that is shown in this episode is accurately reproduced, including masthead and subheading.
- The Marines' Hymn plays when the Iwo Jima veterans raise the flag. They pause momentarily when they are in the pose that duplicates the famous photo of Marines raising the flag on Iwo Jima.
- When Krusty tells Bart he got to where he is by "naming names in the fifties," he is tacitly admitting he betrayed friends and/or associates to the House Un-American Activities Committee during the McCarthy witch-hunts of the 1950s.
- The sign on the marquee of the Oven Mitt Convention, "If the mitt don't fit we will remit", is a wordplay on the defense's line in the O. J. Simpson murder case, "If [the glove] doesn't fit, you must acquit."
- When the doctor who operated on Marge sees the results of his work and says, "Great Ceaușescu's ghost!" it implies he may be from Romania and/or received his training there, as Ceaușescu was the country's head of state from 1965 until his death in 1989.
- Velimirovic's exclamation is also a wordplay on "Great Caesar's ghost!" best known as a catchphrase of Perry White of the Daily Planet in the Superman franchise.
- In addition to the Springfield characters ogling Marge through the Simpson's window is Bill Clinton.
- In line to be seen at the clinic is Joan Rivers (in green suit and pearls).
- While Bart and Milhouse are watching the revamped version of The Krusty the Clown Show, Milhouse laments that they won't let Krusty do anything fun and adds, "Teletubbies get away with more than this."
- The presidents house building scene, is a quote from Laurel & Hardy's silent film "The Finishing Touch". Even Bill Clinton struck by George H. W. Bush reacts with the classic gestures of Oliver Hardy.
- During their sleepover, Bart and Milhouse watch the 66's Batman series on TV as recognized by the opening theme song.
- Krabappel and Skinner hold a sign urging to cancel the recycled The Krusty the Clown Show (it was used for a similar request from the Jackass TV show and the Beavis and Butt-head cartoon, both of which actually exist).
- Springfield Friars Club is a reference to the New York Friars Club.
- Krusty, seeing the obedient elephant, quotes Marlon Brando referring to his butt and the famous intractability on set.
- The exit of Bart, Milhouse and Homer from the elephant's mouth is a quote from the movie Men in Black (scene of Agent K's exit from the body of the giant alien cockroach).
- The episode was nominated for the 2003 Golden Reel Award for Best Sound Editing in Television Animation - Music.
- This appears to be the last episode Marcia Mitzman Gaven works in voicing one of Maggie Roswell's old characters.
- Homer attempts to create his own graffiti alias, "El Homo", based on Bart's far more successful alias, "El Barto".
- Some scenes involving Marge's enhanced breasts were shown in FOX promos/commercials, but not in the episode:
- Marge hides her breasts in the sink.
- Marge uses pans to cover up her breasts when Bart comes into the kitchen.
- Marge tries to cover her breasts with tennis rackets.
- Bart and Lisa run into Homer's and Marge's bedroom at night. Marge is in her robe and Bart stares at her cleavage. Marge frantically points to her face and tells Bart to "Just focus on Mommy's face", to which Bart replies, "I'm trying, Mom."
- One of the people in line at the clinic is a man with two right arms, wearing a red T-shirt that has two right sleeves.
- The Segway scooter indicated by Kent Brockman in his news was actually dangerous, never had commercial success and stopped being produced in 2020.
- Moe says he considers the Springfield Shoe Expo his Woodstock making him look (maybe he is ..) a foot fetishist.
- Drederick Tatum advertises snikers saying "I have been paid millions to endorse these butt-ugly shoes" by dismissing interested parties; in the years of the episode, Nike, Inc. put into production the first colored "Nike Air Max" and still very famous and requested (and some collectible).
- 89 that a salesperson would like to do to Marge is a sexual practice centered on the female breast.
- At the Springfield Shoe Expo fair you can see stands of the Assassins (shoes invented in the Simpsons) and the Keds (real shoes) stands and the Keds stand carries the slogan "The keds are alright" pun on the title of The Who album "The Kids Are Alright".
- When Bart is in his Krusty the Clown sleeping bag, at one point Krusty's face is yellow when it's supposed to be white. Also he has a comb of hair just like Homer.
- The sound mysteriously pauses when Krusty rushes out of the crowd to save Milhouse at the Springfield Shoe expo trade show.
- During the shoe expo, Marge's dress has conventional over-the-shoulder straps for most of the time. But when she flashes her breasts to the crowd, her dress changes to a halter top (rather than sliding the straps off of her shoulders, she unfastens the dress at the back of her neck).
- In Luigi's, the lobsters in the tank are bright red. They are actually quite brown until they are boiled when they become red/pink.
- After Homer paints "El Homo" on the wall, he paints over it so that none of the letters are visible. In the next shot a couple of the letters are visible, and are only struck out with one line.
- In some shots, the incorrectly-colored lobsters have their claws taped shut, and in others they don't.