The U.S version of the film (retitled "It's Not The Size That Counts") featured additional footage shot by the distributors. These included an opening scene showing a penis transplant operation and a brief scene where a dwarf leaps out of a woman's bed (she then says the film's U.S title). The dwarf was played by
Luis De Jesus who was more infamously known for playing Ralphus in
Blood Sucking Freaks (1976).