The idea for the song "Ooh Poo Pah Doo" began from some music played by a local pianist, who had the nickname Big Four. Hill wrote the lyrics and melody. Over time, while performing it on stage, it became a longer song. Hill also added an opening part written by Dave Bartholomew. In the end, the song became "a nonsensical yet rollicking call-and-response workout that perfectly captures the energy of French Quarter life...".