Despite the Anchor Bay DVD box claiming the film is uncut and uncensored, the DVD release is actually the censored "R" rated version. According to the director's commentary, the following scenes were cut to achieve an "R" rating:
- The "dream" sex scenes were trimmed.
- The shears killing was trimmed so that we only briefly see the shears getting rammed into the back of the girl's head.
- Due to time restrictions, a scene near the beginning of the van breaking down was deleted.
- Also, the ambulance attendant tells Alison to "calm down" at the end. This line was cut because according to the director, it sounded bad.