This episode marks David Boreanaz and Charisma Carpenter's 100th appearances as Angel and Cordelia Chase respectively.
The title is taken from a comment made by then-U.S. Vice President George Bush in an article in the January 26, 1987 issue of "Time Magazine" regarding where he wanted to lead the country. Bush said, "Oh the vision thing."
Charisma Carpenter says that although the visions aren't usually difficult to portray, the physical manifestation of the visions in this episode were "a little bit more challenging than I had anticipated."
Kal Penn (the psychic) had also played a frat boy in an episode of Buffy the Vampire Slayer titled Beer Bad (1999).
This episode re-introduces the character Gavin Park, previously seen in Over the Rainbow (2001), a lawyer from Wolfram & Hart. He serves as competition for Lilah after Lindsey's departure the previous season.