The photograph behind the bag was taken by Lennon himself. He set a camera on a time delay at 34 Montagu Square in Marylebone, the London flat belonging to Ringo Starr, where he and Ono were temporarily living, and captured the two of them standing naked and facing the lens. It was one of three black-and-white prints he made for the sleeve.
Lennon explained the choice simply: he had pictured Ono naked because her work felt so pure to him that he could not think of any other way to present her, and he insisted it was not meant as a sensational idea. The title carried the same tone. The couple felt like two innocents lost in a world gone mad, and there was a more literal meaning too, because after making the recording together the two consummated their relationship.
The music matched the rawness of the image. Rather than songs, the album offered avant-garde sound collage, musique concrete, and stretches of pure noise, an experiment far from anything a Beatles record had prepared listeners for.
The nude cover dictated how the release was handled. EMI, the parent record company, flatly refused to distribute an album fronted by such a photograph. The music appeared on Apple, with Track handling the United Kingdom and, in the United States, a small label called Tetragrammaton, which picked it up after Capitol also refused and which had until then been known mostly for spoken word releases. The American album came out on 11 November 1968 as Apple T 5001, with the United Kingdom following later that month.
To get it into shops at all, Track and Tetragrammaton sold the LP inside a plain brown wrapper with a cutaway showing only the couple's faces and the title. Apple Records interns were reportedly put to work bagging the records so that everything but their heads was covered.