"What the Hell" was performed by Lavigne on several television programs such as "Dick Clark's New Year's Rockin' Eve", "Daybreak", "The View", "The Tonight Show with Jay Leno" and on the Much Music Video Awards, "America's Got Talent" and "Britain's Got Talent".
Videospot za pesem, ki ga je režiral Marcus Raboy, je izšel 23. januarja 2011.