Oh! What An Alteration. OR Oh, What An Alteration. Sheet music for piano and voice, titled "Oh! What An Alteration. OR Oh, What An Alteration.", appearing as 5 photocopied sheets (10 pages total). The front cover depicts Charles Coborn with an abnormally large head, displayed as a poster on a wooden fence. There are various other 'posters', including an image of a man with a beaten face subtitled 'After The Fight. (Why Wasn't It A Draw)'; an image of a woman wearing a corset in front of a mirror subtitled 'Beauty Minus The Birdcage'; An image of three men facing away from each other subtitled 'Hard-up' next to an image of men crowded around with the subtitle 'A "Thou" A Year'; and other posters that are partially obsured. There is a ladder in front of the wooden fence and scaffolding behind the fence.