Cochinita means baby pig, so true cochinita pibil involves roasting a whole suckling pig. Alternatively, pork shoulder (butt roast), or pork loin is used in many recipes. The high acid content of the marinade and the slow cooking time tenderizes the meat, allowing otherwise tough pieces of meat to be used. The Yucatecan recipes always employ the juice of Seville or bitter oranges for marinating. In areas where bitter oranges are not common, juice of sweet oranges combined with lemons, limes, or vinegar are employed to approximate the effect of the bitter orange on the meat. Another important ingredient in all pibil recipes is achiote (annatto), which gives the meat its characteristic color and adds to flavor. It is usually eaten with side dishes as; corn tortillas, red pickled onion, refried black beans and habanero chilies. Traditionally, cochinita pibil was buried in a pit with a fire at the bottom to roast it. The Mayan word pibil means "buried".
The puerco pibil is a recurring element of the movie Once Upon a Time in Mexico directed by Robert Rodriguez, where it is the favorite food of a CIA agent played by Johnny Depp, who orders this dish every time he enters a Mexican restaurant and urges every people he has lunch with to taste it. He will go as far as killing a cook because his puerco pibil is "too good".