Mr. Garrison's Fancy New Vagina/Trivia

Trivia

 * In the beginning of the episode when Mr. Garrison changes to Ms. Garrison it shows live-action clips of a dog being neutered.
 * Mrs. Garrison still appears as a male in the opening crowd scene until "Smug Alert!"
 * Kyle references Michael Jackson's surgery of skin color change when Dr. Biber explains about a negroplasty. Jackson appeared in "The Jeffersons".
 * Garrison reveals her breasts on Girls Gone Wild but all the other girl's breast are censored with the logo of "Real Girls" . Her breasts are later revealed again in "Go God Go", even more distorted than they were in this episode. The distorted breasts are due to the events of "Two Days Before the Day After Tomorrow", in which one of his breasts is damaged during a mass panic.
 * The final scene of the episode is directly referenced in "Eek, a Penis!" where Garrison states that "the key difference between men and women is women can have babies" whereas in this one he says he'd rather be a woman who can't get periods or have babies than a fag.

Goofs

 * When Kyle leaves with his dad to go tryout again for the All-State basketball team, part of his hat is still seen on screen when Stan asks "Dude, is Kyle's dad a dolphin?" and Cartman says "He's a Jewish dolphin. A Jewphin.".
 * The basketball announcer introduces Kyle as number 8, however, there is a 4 on the back of his jersey.