Ryan Bingham wrote this song for his wife, writer-director Anna Axster. He explained to Billboard magazine: "It reflects the feeling of wanting to be there for another person no matter what. Even when everything seems fine on the outside, to let someone know that you are there and they can be open and let you in."
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.