The album was recorded from December 1985 to April 1986, during the first year of Madonna's marriage to American actor Sean Penn.She dedicated the album to Penn, "The coolest guy in the universe." Deemed Madonna's most girlish album yet, True Blue deals with Madonna's view of love, work and dreams as well as disappointments.

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All five singles released from the album reached the top five on the Billboard Hot 100, with "Live to Tell", "Papa Don't Preach", and "Open Your Heart" peaking at number one.

The album was promoted on Madonna's second concert tour, the Who's That Girl World Tour, which visited cities of North America, Europe and Asia in 1987.

The album features instrumentation from acoustic guitars, drums, synthesizers and Cuban musical instruments.

The topic for the songs range from love, freedom, and in the case of "Papa Don't Preach", social issues like teenage pregnancy.

"Papa Don't Preach"'s lyrics talk about a young woman who tells her father that she is pregnant out of wedlock, but is going to keep her baby.

"Live to Tell" portraits the complexity of deceit and mistrust.According to Madonna, the title was from a favorite expression of her then husband Penn and his very pure vision of love.The song is based on teenage gossip Elliot heard outside his studio, which had a large front window that doubled as a mirror where schoolgirls from the North Hollywood High School in Los Angeles regularly stopped to fix their hair and chat.The songs on the album reflect this and a number of instruments were used in the songs to bring out the different moods which the lyrics emphasized."Papa Don't Preach" features acoustic, electric, and rhythm guitars, keyboards, and string arrangements."I was down in the basement with these idiot muso friends, working on a tune," Leonard recalled in 1992. And that ended up being one of the tracks on True Blue." Madonna wrote or co-wrote every song, although her involvement on ones such as "Papa Don't Preach" and "Open Your Heart" was limited to adding lyrics.