• This episode makes another crack at the running gag of Quagmire gaining his own spin off like Cleavland. In this instance mimicking Cleavland's opening sketch where he is in Intercourse, PA.
• It is revealed Donna has a Master's degree in Cosmetology.
• Donna's gray hair is revealed once again, but Jr. manages to dye it and give her a more feminine look.
• It is revealed that Kendra used to be a school guidance counselor, but abused that position and tricked Lester into dropping out of school and marrying her.
• The title is similar to the Family Guy episode "To Love and Die in Dixie".

Previous Episode's Notes/Trivia /// To Live and Die in VA's Notes/Trivia \\\ Next Episode's Notes/Trivia