Madonna, who had viewed a VHS home recording of Keshishian's pop opera of "Wuthering Heights" at Harvard, unbeknownst to Alek, had asked her agents to send her everything he directed. When he was 26, Keshishian got a call from Madonna who asked him to direct the HBO special for her Blond Ambition World Tour. Four days later, Keshishian travelled to Japan to shoot some backstage footage for the HBO special. Candid backstage footage captured in Japan, led Madonna to let him direct a feature-length documentary movie instead. "Truth or Dare" became the biggest grossing documentary of its time