"A Visit to the Gynecologist," and "Elective Surgery" detail a list of services offered by Octagon, who claims to treat chimpanzee acne and moosebumps, and relocating saliva glands. Octagon is described as being incompetent, as many of his surgery patients die as he conducts his rounds. Octagon also pretends to be a female gynecologist and often has sex with female patients and nurses. According to Mickey Hess, author of Is Hip Hop Dead? The Past, Present, and Future of America's Most-Wanted Music, "The album's beginning and ending tie together the stories of the fictional character Dr. Octagon and the rap career of Kool Keith Thornton himself: We begin with '3000' and end with '1977,' which purports to be an audio recording from an early rap performance by Kool Keith ... announcing a 1977 rap show featuring ... pioneers Grandmaster Flash, Kool Herc, the L Brothers, and the original scratch creator Grand Wizzard Theodore. The message is clear: Kool Keith is a part of hip-hop history, and even as rap moves on to the future, Dr. Octagon does not replace Kool Keith." Singles "Earth People," released in 1995 on Bulk Recordings, was the first single from the album. The 12-inch single featured the songs "No Awareness (Lyrical Hydraulics)", "Bear Witness (Q-Bert Gets Biz)", and the "Interstellar Time Travel" and "Earth Planet" mixes of "Earth People". "3000" and "Blue Flowers" followed as singles in 1996. The "3000" 12-inch also featured the "Automator 1.2 Remix", "Bear Witness (Automator's Two Turntables and a Razor Blade Re-Edit)", and "Tricknology 101". The "Blue Flowers" 12-inch single release featured the original and instrumental versions of the song, the "Automator Remix", and the instrumental version of the remix. The "Blue Flowers" maxi single featured the original vocal and instrumental versions, the vocal and instrumental versions of the "Automator Remix", the "Flower Bed Mix *2" by DJ Crystl, the "Secondary Diagnostic Mix" by Photek, and the DJ Hype remix. A second 12-inch single of "Blue Flowers" featured vocal and instrumental versions of the "Automator's Stop Confusing Me Remake", vocal and instrumental versions of Prince Paul's "So Beautiful Mix", the a cappella version of the song, and the track "halfsharkalligatorhalfman". A second maxi single of "Blue Flowers" featured, in addition to earlier mixes of the song, vocal and instrumental versions of the "Meditation Mix" by KutMasta Kurt. A third 12-inch single was released featuring remixes by DJ Hype and Photek.