"Title and Registration" was the third single taken from Death Cab for Cutie's 2003 album Transatlanticism. It was officially released as an internet-only single that could be streamed through the band's website. Promo copies of the single were released on CD. "World Shut Your Mouth" was later released on the Crooked Teeth EP.
Live, the song's layered instrumentation has been difficult to pull off and thus has been performed a variety of ways. All of these involve Chris Walla switching halfway through the song from lead guitar to keyboards, whilst Ben Gibbard takes over the guitar part. For the first half of the song, initially, both Gibbard and drummer Jason McGerr used electronic drums in order to replicate the distinctive drum machine sound in the song. In the band's 2008 tour, Gibbard performed the entire first two verses as lead vocalist, without a guitar or drums; before picking up his guitar as Walla abandoned his. Most recently, Gibbard has kept his electric guitar strapped on for the song's entirety, but using a shaker as percussion during the song's first two verses.
The video, directed by Patrick Daughters, consists of frontman Ben Gibbard lying on an operating table while undergoing a "surgery" (as done by the other band members) to receive a new heart. Although Ben seems to act calm and has the ability to sing throughout the procedure, he was not given anesthetics. During the surgery, it is shown that Gibbard's chest is simply paper, model organs, and a model rib cage.