Frontwoman Lzzy Hale told Kerrang! the story behind this song. "I was dating this guy once and it turned out he was seeing somebody else at the same time," she said. "Sometime later, I ended up meeting this girl randomly, in a bathroom at a concert. We got to bring in both figured out that each of us was 'the other girl.' Fast forward a couple of years and I sold this guy again, and he told me that this was his favorite song. I never did tell him what it was about – that would just be mean to ruin it for someone like that."
The Flaming Lips' "Do You Realize??" was named in March 2009 the official Rock Song of Oklahoma. Four years later, Oklahoma's governor Mary Fallin pulled the tune as the state's official rock song in a move her office said had more to do with priorities than musical taste.