This playful piano romp is one of 28 tracks on Sananda Maitreya's eight album (his 12th if you include his work as Terence Trent D'Arby), Pandora's PlayHouse. Most of the songs get rather philosophical, and this one does too, in a sense. Maitreya explained in a Songfacts track by track:
"Every songwriter worth their salt wants to write the universal song, the one with the 'universal sentiment' that can be readily comprehended anywhere in the world at any time. A song that one hopes that everyone can relate to and bring to attention the connective tissue that we all share as members of the human race, the only race there is.
With 'Don't Break My Balls,' I just may have come up with a universal sentiment with which all men and good persons can agree. As a nationalized Italian citizen, I can promise you one thing, 'Don't Break My Balls' is as gender-neutral a phrase, (as well as multigenerational) that you will find anywhere in the world. And, an unofficial motto of Italian life and culture.
Apparently it is often cited as the very first phrase italian babies say after 'mama.'"