"The Girl Green as Elderflower" is often considered to be closely linked to Stow's life. After dealing with a bout of malaria in Papua New Guinea, he moved to East Bergholt in Suffolk in England from 1969 to 1981, his ancestral county, and he used traditional tales from that area, many of which he translated from Latin himself, to inform his novel. The regional stories Stow used for the novel were collected by William of Newburgh, Gervase of Tilbury, Gerald the Welshman, Ralph Coggeshall, Roger Howden, and Walter Map. Many of the characters in the novel are based on Stow's friends. He conducted research in advance of publication for several years. In 1978, he and John Constable's great-great-grandson were in a serious car accident, which finally spurred Stow to begin writing the novel. On New Year's Day 1979, he began writing and finished thirty-two days later.