- Actor-Inspired Element: The Doctor being rude to a pregnant woman and consequently getting programmed to experience an illness were both story ideas suggested by the doctor's actor, Robert Picardo.
- Actor-Shared Background: Robert Beltran's mesoamerican heritage led to Chakotay's tribe being depicted as South American rather than North American.
- Dawson Casting: Chakotay is 15 in the flashbacks (as mentioned by his father at one point). Actor Douglas Spain played the role at age 21.
- You Look Familiar: Henry Darrow, who plays Chakotay's father Kolopak, had previously played Admiral Savar in the Star Trek: The Next Generation first season episode "Conspiracy"
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