Producer Betty E. Box discovered the novel when she and director Ralph Thomas were meeting a publisher about optioning the film rights for another book. They were not available at the time, but the publisher gave them a manuscript by Raymond Hitchcock about a penis transplant. Box took it back to the office to read. "I zipped through it, laughing aloud as I read", she wrote. "Very unusual. I might sometimes smile at a book, but I hadn't laughed like this since I read Richard Gordon's "Doctor in the House"."