This episode revolves around Uncle Junior's penchant for performing oral sex on his girlfriend. The episode's title, "Boca," refers to both the Spanish word for mouth (in Italian it is "bocca" with 2 c's). as well as to the location of one pivotal scene in Boca Raton, Florida.
Junior hitting Bobbi in her face with a pie when they break up was used as an homage to The Public Enemy, where the main character does the same to his girlfriend with a cut-in-half grapefruit when he says he is leaving her. David Chase has cited The Public Enemy as an enormous influence.
The Roxbury High School Girls' Soccer team (Succasunna, New Jersey) played the extras for both the opposing team and members of Meadow's team. The team used this opportunity as a fundraiser.
Junior mentions the "Escobedo brothers" to Mikey Palmice when explaining how it is possible for a psychiatrist to testify against a patient. This is a reference to the Menendez Brothers in Beverly Hills, who killed their parents and were later turned in to the police by their psychologist, L. Jerome Oziel. What's more, Sopranos series regular Edie Falco starred in the series Law & Order True Crime (2017), which dramatized the Menendez case.
The young actress who makes her first and only series appearance as Chiara, daughter of Artie and Charmaine Bucco, is uncredited.