Mark Hentemann stated that a scene where Meg asks Chris to have sex with her boyfriend and describe it to her was was the most difficult scene for him to write this year. This scene no longer existed in the final aired episode and Cherry Chevapravatdumrong is credited as the writer.
It was originally announced that Twilight actor Kellan Lutz would voice Kent. For unknown reasons, he was recast with Chris Cox. 
Ruth's tongue was supposed to be cut off in Paris, yet she talks normal.
In the promos, Stewie is wearing a bikini to seduce Kent, but in the episode, he is totally naked.
Lois admits to Bonnie that she has placed Stewie in the oven on multiple occasions.
Meg's darker side is mentioned again when Chris reveals that she taught him how to poison squirrels with cheese, although the trap backfired when the squirrels trick Chris into eating the cheese himself and Meg had to take him to the hospital.
Brian mentions that Chris' penis is the biggest in the family, a callback to "And the Wiener is...".
Quagmire's arms gets longer before he hugs the Asian girls in the theater.
This is the first time Meg refers to all of her friends by name.
When Brian and Stewie read Meg's diary, her weight is given as 159lbs.
In the uncensored version of the episode, Meg tries to claim that Neil Goldman is gay. Neil starts to protest, but admits he really is gay to the cheers of the school as he is hoisted on the shoulders of the school jocks.