Ned and Eric bump heads over who is going to be Leonard the Rodeo Clown at Howard's birthday party. Ned is determined to reprise the role, despite having issues with his gallbladder. Amanda and Eric try to schedule a time to create another baby during her time of peak fertility. Ned has to go to hospital for routine surgery after his issues finally catch up with him. Stacey manages to find Ned after he goes missing in the hospital and helps him get over his concerns about the possibilities of a botched surgery.