BMX XXX was originally planned to be the third title in the Dave Mirra series, Dave Mirra Freestyle BMX 3. The game's premise of featuring strippers on bikes originated from meetings without him about what how to take the series in a mature direction. Someone suggested strippers be included, and while it was initially taken as a joke, serious discussions planning it into the next Dave Mirra game took place then and there, along with adding hardcore music and strong language. According to Mirra, he felt the game was supposed to have a mature, tongue-in-cheek tone similar to the film "Airplane!", and while producer Shawn Rosen claimed he enjoyed the pitch presented, Mirra's sponsors warned him that his association with the mature content would damage his image. As a result, Mirra and Acclaim signed an agreement to remove his name and likeness from the game, and another traditional game in the series, Dave Mirra Freestyle BMX 3, was later released for the Game Boy Advance. After BMX XXX's release, Mirra filed a lawsuit alleging that his likeness and name were still being used after he separated from the project, with the game promoted as "Dave Mirra BMX XXX", and that it was damaging his image. The lawsuit was eventually settled in October 2003.

In all Australian releases and the PlayStation 2 NTSC release, there is no option to alter custom rider breast size. There is also no option to have the rider be topless, thus removing all nudity.

The box art for the Xbox and Gamecube versions feature a stamp that says "Keep It Dirty." This was removed from the PS2 version, most likely due to the fact that the PS2 version is censored, removing all nudity for the game.

In the North American release, the game came with a pin-up poster featuring a blonde woman using the pole holding up a BMX bike cushion to pole dance on. The size of the pin-up varies with each port of the game, with the GameCube version's being double the size of the rest as the back side of it features a map of the game's first area, The Bronx, NYC.

However, that's not the only pin-up to come with the North American release of the game. The cover art is reversible, and if you flip it over to the back side you will find a pin-up of a redheaded woman in lingerie sitting backwards on a BMX bike, with tattoos of logos for the game and for the AKA Acclaim brand on each of her buttocks.