S&M documents the historic collaboration between Metallica and the San Francisco Symphony Orchestra. The S&M DVD is recorded in full Dolby Digital 5.1 surround sound. This video features some of Metallica's select favorites like never before with the eloquent backing of the San Francisco Symphony. The performance features 21 tracks including two brand new songs - No Leaf Clover and Human.

Various extras include a 41-minute documentary - a look into the making of S&M, including behind the scenes footage, interviews with Metallica, Michael Kamen, the SF Symphony, and much more.  S&M special features include a four multi-angle songs (Wolf, Fuel, Sad, and Sandman), which allows the viewer to choose their favorite band member and follow them around for the whole song. Other special feathers allow for separate stereo tracks for the band and for the orchestra. Also included are two additional versions of "No Leaf Clover" (Slice & Dice video version & Maestro Edit).

The VHS release of the concert was available in a limited edition double VHS set, with the behind the scenes documentary filling the second video. The single video release captures only the concert performance. The S&M video is also available in a special Amaray Case or Smartpack DVD.