In 1985, the newly founded Parents Music Resource Center (PMRC) accused Twisted Sister of promoting rape, bondage, and sadomasochism in this song. Dee Snider took a stand against their agenda at a Senate hearing, pointing out that the lyrics to this song have absolutely nothing to do with any of the aforementioned offenses, and that the "Washington Wives" who comprised the group were projecting their fantasies into their interpretation.
Snider testified that Tipper Gore of the PMRC wrote an article that he read in a Long Island newspaper claiming the lyrics encouraged "sadomasochism, bondage, and rape." Said Snider: "The lyrics she quoted have absolutely nothing to do with these topics. On the contrary, the words in question are about surgery and the fear that it instills in people."
He added, "That the writer could misquote me is curious, since we make it a point to print all our lyrics on the inner sleeve of every album. As the creator of 'Under the Blade,' I can say categorically that the only sadomasochism, bondage, and rape in this song is in the mind of Ms. Gore."
This was not the Twisted Sister song that landed on the PMRC "Filthy 15" list; that honor went to "We're Not Gonna Take It
," which was cited for violence.