The play centers on a small group of Irish-American men who meet each week at a self-help group for men with small penises. When a twenty-something blue-collar guy joins the group, he challenges everything the other men thought about "the Irish curse."

The play had its world premiere at the New York International Fringe Festival in 2005. Subsequently, the piece was seen at the 2006 Edinburgh Fringe Festival; this production transferred to The Dublin International Gay Theatre Festival.

Casella's other plays include Scituate, Mates, Paydirt, Desert Fire, Beautiful Dreamer, and George Bush Goes to Hell. Additionally, he co-wrote the book for the new jazz musical Play It Cool.