The English title of the film is an allusion to the 1982 American comedy film Tootsie. A Thai slang term for transvestite or effeminate man, toot (ตุ๊ด), comes from the first syllable of Tootsie. The Thai name of the film, Tat soo foot is a Thai spoonerism for toot soo fat, which translates roughly as "butt-kicking sissy".
Kung Fu Tootsie is set in Hong Kong, the story of Tien and Tao, twins