A song written for a woman Fish dated in the early 1980s whose first name was Kay and middle name was Lee. Fish explained the story behind the song in 2000, partially quoted below:

“Kay and I had started going out in about 1981 and she was a pharmacist at Stoke Mandeville Hospital in Alyesbury, and I met her and went "Wow!” right, and we started going out and we fell in love and we were incredibly close but I mean the band was just starting and I was like a kid in a sweetie shop, right, I mean seriously on every level, and Kay was a part part of the whole kind of thing but when I went and joined Marillion I gave up everything, it was like this is what I’m going to do.

“So we split up in ‘82 when we recorded the Script album, we got back together again in '83 and we kinda bounced about and then we moved to Belsize Park – very expensive, in a very lovely area of London, and then I went away to America on a tour and came back and she’d gone and she just that was it. I mean I came back to the flat and it was only my record collection that was left there and my record player and that was it, she’d gone.

“We never got back together again. When I wrote Misplaced I was still dealing with the whole thing you know I have I done the right thing, you know, it’s just yeah I wanted to kind of get it out of my system, so the whole Misplaced theme was based around Kay, but at the same time recognizing, you know, that my whole life had completely changed.

“We lost touch completely and out of the blue, she got in contact with me. We were playing in Bradford and she came along to the gig and we met for the first time since 1984. It was really strange; it was like I hadn’t seen her for a week.

“Yeah, there was nothing about, it was just really good old friends talking about bringing kids up and talking about relationships, you know. And then she disappeared for a while and then she told me that she’s been diagnosed with cancer.

“You know, we had this kind of contact, just support; that’s what really what we’re doing, was supporting each other through what were difficult times. She came up to Edinburgh and we went out for lunch together when I gave her the album and she said, "I’ve never heard it.” She said she’d never listened to the album and she phoned me up the day after and she said, “I cried all the way back home!” She said, “I never realized that that was how you felt at the time” and she never realized. She said, “I never realized you’d put so much into that album” and the next thing I got a phone call of a friend of ours and said she died of cancer.

“In the last year Kay was telling everybody ‘I’m the girl in that song’ and she was really proud of it. To be able to kind of complete that circle in a way, was was nice.”