Nip/Tuck (2003–2010)
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Joan Rivers 

Comedian Joan Rivers comes in requesting all of her previous plastic surgeries to be undone.


Ryan Murphy


Ryan Murphy (created by), Ryan Murphy

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Episode cast overview, first billed only:
Dylan Walsh ... Dr. Sean McNamara
Julian McMahon ... Dr. Christian Troy
John Hensley ... Matt McNamara
Roma Maffia ... Dr. Liz Cruz
Joely Richardson ... Julia McNamara
Famke Janssen ... Ava Moore
Alec Baldwin ... Dr. Barrett Moore
Seth Gabel ... Adrian Moore
Robert LaSardo ... Escobar Gallardo
Conor O'Farrell ... Detective Fischman
Tasha Smith ... Carol Nelson
Kelsey Batelaan ... Annie McNamara (as Kelsey Lynn Batelaan)
Todd Cattell ... J.T.
Mario Schugel ... Joe
Linda Klein Linda Klein ... Nurse Linda


Joan Alexandra Molinsky asks the surgeons to undo all the plastic surgery she ever had as actress Joan Rivers. She's ashamed that she started the fad for plastic surgery, especially as it influenced her grandson Cooper, and points out that it's a superb publicity stunt for her and the surgery firm. Ava says that she'll never be happy again as long as people judge her. Matt proposes to start again in Paris and promises her some anti-depression drugs. Christian surprises Matt while he's stealing them and sees through his pretense that the drugs are for him. When Christian confronts Ava, she dares him into sexual a power play game, but he suddenly walks out during the antics tells Sean that Ava is a male transsexual. Julia tries threatening Ava to back off, and learns her price is the last operation to complete the sex-change. Afterwards she refuses to go to Paris with Matt. Joan doesn't even like the idea of seeing what she would look like if the plastic surgery was reversed, the ... Written by KGF Vissers

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Release Date:

5 October 2004 (USA) See more »

Company Credits

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Technical Specs


Sound Mix:




Aspect Ratio:

1.78 : 1
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Did You Know?


Julia refers to Ava as a 'phoenix'. Famke Jansen, who plays Ava, also played Jean Grey/Phoenix in the X-Men film series. See more »


When Christian, Sean and Julia are using the laptop computer to search the Internet, several shots show a black screen meaning the computer is turned off or in screen saver mode. See more »


Christian Troy: [to Ava Moore] You lubricate acid. If I stick my dick up you, it would sizzle off.
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References X-Men: The Last Stand (2006) See more »


A Perfect Lie
(Opening Theme)
Written by Jeffrey Cain Thompson, Cedric Lemoyne and
Gregory Slay
Performed by Jeffrey Cain Thompson, Cedric Lemoyne and
Gregory Slay as The Engine Room
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User Reviews

One of the best hours of Television Ever
3 September 2007 | by PoisonKeybladeSee all my reviews

This episode truly is one of the best hours of television, and it is definitely the best episode of Nip/Tuck as of Season 4. This episode is powerful, revealing, shocking, and depressing in so many ways, and the final few minutes are just jaw-droppingly perfect. Famke Janssen gives her best performance yet as Ava, and Adrian finally confronts his mother about everything. The horrible truth about Ava is also finally revealed, and there is so much build up to the final few minutes. This is one of the best season finales ever, and it is no surprise that Nip/Tuck got so much attention during this time. Sean also finally confronts his fears, and he sets things up to face the Carver once and for all. Overall, this episode is just magnificent and just proves why Nip/Tuck is so addictive and amazing.

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