Sean and Christian struggle to keep their plastic surgery practice, McNamara/Troy, successful in the declining economy. With Julia now living away in New York, Sean struggles with the stress of finances and pressures from Teddy. Christian, after finding out that he's not dying, deals with a vindictive Liz who's now suing him for everything when he wants to end their marriage. Both egotistical doctors have high hopes when they again meet Dr. Mike Hamoui who's more than happy to come on board their practice with his new vaginal surgeries. Meanwhile, both Matt and Kimber have mixed results in their new separate career paths - Matt as a mime Kimber as an electrolysis practitioner.