The film Stand and Deliver, which this episode parodies, was filmed at Garfield High School. In this episode, Cartman teaches at Jim Davis High School which is named after the cartoonist who draws the Garfield comics.
Although in the show it's seems very easy to undo the changes made in the transition process, it's not that simple in real life. It's actually almost impossible to undo anything after the sex reassignment surgery.
While Cartman is teaching his class he says "I miss interpretated the rules". The arrow on the blackboard behind him has an arrow curving downwards, but when the camera changes back to the board the arrow is curving upwards.
Ironically, in the movie Stand and Deliver, the kids get accused of cheating on their big test. Yet in the end, they prove that they really did know their stuff.
In the movie, "Stand and Deliver" the name of the high school is Garfield High School. In this episode of "South Park", the name of the high school is Jim Davis High School. Jim Davis is the creator of the comic cartoon cat Garfield.
Mr. Mackey: Um, maybe it's best for you not to teach, m'kay?
Mrs. Garrison: Oh, it's so easy for you, Mackey! You have a penis! (runs away in a huff)
Linda Stotch: There! There! You see it?
Stephen Stotch: Oh, it's just a little penis, darling...
Linda Stotch: I don't care, it's probably got all kinds of diseases!
Butters: Hey wait, I think that's Teacher's penis!
Stephen Stotch: Your teacher's penis?
Butters: Yeah, that must be his.
Stephen Stotch: Butters, how did you know what your teacher's penis looks like?
Mrs. Garrison: What about a penis?
Scientist: Well, you use the penis and stick it in a woman's vagina.
Mrs. Garrison: No, I mean can you grow one?
Kyle: Do you know what those kids are going to do to you? A little middle class white boy telling them what to do? They are going to f**king murder you.
Cartman: Mr.Cartmenez is here to make sure you all get into college.
Student: Man, we ain't gettin into no college. F*ck you!
Cartman: How do I reach these keeds?
Cartman: Before the last Super Bowl, Bill Beelicheck told his team, "Let's win this one for real, let's not cheat!".
Student: What happened?
Cartman: They lost.
Cartman: (holds up picture of Bill Belicheck) This is Bill Beelicheck. Head coach of the New England Patriots. He's won three Super Bowls. How? He cheated. He even got caught cheating and nobody cared! He proved that in America, it's alright to cheat, as long as you cheat your way to the top.
Linda Stotch: Stephen! Stephen, come quick!
Stephen Stotch: What is it, dear?
Linda Stotch: A penis is loose in our kitchen!
Stephen Stotch: A penis?
Linda Stotch: Yes! It just ran across the floor.
Stephen Stotch: Now darling, calm down.
Linda Stotch: Calm down nothing! I don't want that penis running through my house!
Stephen Stotch: (aside to Butters) Oh, women. Always afraid of penises..
Mr. Garrison: But you know, I've learned that I've really been a dude all along. Because the key difference between men and women is that women can have babies. If you can't have babies, then you're a man.
Thompson: Whoa, uh, wait, uh, hang on a second. My wife had ovarian cancer so she can't have babies.
Mr. Garrison: Well then, get an AIDS test, Thompson 'cause you're wife's a dude, faggot!
Mouse: (singing) Someone, somewhere is loving me tonight. Looking at the same moon and seeing it so bright..
Penis: (singing) Someone, somewhere is feeling my despair. And this same moon is making them think of th--
Ms. Garrison: THERE IT IS!!
Ms. Garrison: Boys! Boys, have you seen my penis?
Kyle: .... What?
Ms. Garrison: My penis is on the loose! If you see it, just try to catch it with some cheese!
Butters: (rubbing his temples) Oww. That hurt my brains.. OWWW...
Cartman: (As Cartmanes) Abortion is the ultimate form of cheating! You're cheating nature itself! Why do rich white girls get ahead in life? Because they get abortions when they are young. They get pregnant but they still want to go to college, so whatever, they just cheat. They cheat that little critter in their belly right out of a chance at life.
Cartman: How do I reach these keedz?
Denmark: August 15, 2008 on TV3
Latin America: March 30, 2009 on MTV Latinoamerica
Mr Garrison makes his first MALE appearance since season 9, in the episode Mr. Garrison's Fancy New Vagina.
In the episode, Ms. Garrison, while looking back at her transition, claims he was desperate and unaware of the consequences of her/his decision. This might be a reference to Sam Hashimi, who once transitioned into a woman and, being unsatisfied with the decision, tried reversing the process as much as it was possible.
The sketch of the penis the Police Sketch artist drew bears a strong resemblance to Mickey Mouse, circa 1920s.
An American Tail:
This is a parody of the song 'Somewhere Out There' which is sung by the two mice in the animated movie An American Tail (1986).
When Cartman is teaching the students how to cheat, he holds up a picture of Bill Belichick, New England Patriots coach who was caught videotaping New York Jets defensive signals in 2007.
Stand and Deliver:
The way Cartman is dressed and his Hispanic persona are an allusion to Edward James Olmos' character, Mr. Escalante, from the 1988 film Stand and Deliver.
Current Events/Pregnant Man:
When Ms. Garrison laments about his sex change, he references a man on "Oprah" claiming to be pregnant. That man is Thomas Beatie, a man, originally born a woman, who retained certain female organs and later became pregnant.
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