In this way, the project is a true collaboration, resembling the making of a movie in reverse, where the pictures function as the script and the text acts as the moving images, coming in response. The title comes from the song Follow (written by Jerry Merrick and famously sung by Richie Havens, also a Brooklyn native), whose lyrics are reproduced throughout the book, and serves as kind of a sound track to the story, adding to the cinematic quality.

The Waters of Our Time was conceived as an homage to Roy DeCarava and Langston Hughes' book The Sweet Flypaper of Life published in 1955, a cherished part of the elder Roma's library. The book remains true to Flypaper in terms of design (size, layout, font), but differs greatly in process. Whereas Hughes selected and sequenced DeCarava's photographs before writing the text for Flypaper, Roma selected and sequenced his own photographs first, leaving Giancarlo to write the text in the white space between pictures for The Waters.