- A student whose teacher was jailed for their illicit affair has married her, and wants surgery to look more her age. Raj's dad, a surgeon, wants him to operate on him. Matt gives up becoming a plastic surgeon.
- Raj's domineering father, a surgeon himself, wants a penis enlargement and insists suddenly uncertain Raj, who is now Matt's tutor, does it. This unleashes frustrations leading to a tragic climax. Christian celebrates his breast reconstruction too enthusiastically, resuming his prowling (to Liz's frustration) until his sutures burst. Ricky Wells insists on surgery to make him look about the age of his wife and former teacher, who was jailed for their then illicit affair. The result is a plastic surgery success, but a family disaster.—KGF Vissers
- Open with an awkward sexual encounter between Christian and Liz. Liz thinks their physical relationship is already in trouble and Christian tosses her a robe when she stands in front of him nude. In the bathroom Liz looks at herself in the mirror and cries.
18-year-old Ricky Wells and his 40ish wife Carrie Mae meet with Sean and Christian. The two have had a romantic relationship since Ricky was in middle school and Carrie Mae has been jailed twice for statutory rape. Carrie Mae is four months pregnant and Ricky wants to get a facelift so he can look older in his role as father and husband.
Cut to Sean helping Matt practice his surgical techniques on a pig. Matt thinks he hasn't inherited his father's talents and leaves in a huff.
Raj is full of excitement as he and Sean scrub in to perform Christian's pectoral reconstruction. As they wash their hands Raj's cardiothoracic surgeon father Vijay walks in, having flown in early from India to attend a conference.
Christian's surgery appears to be going well. When Sean spots Matt in the observation area he allows Raj to close and leaves.
Matt tells Sean he wants to drop his Organic Chemistry class and Sean suggests Raj be his tutor. Matt leaves and Sean compliments Vijay on his father/son relationship with Raj. Vijay tells Sean he "didn't fly 8,000 miles just to see my son operate. I'm here to get surgery myself. Your office does penile enhancements, don't they?"
After complimenting Sean and Raj on their facilities, Vijay drops a bombshell: He would like Raj to perform the surgery on his penis. With his wife deceased, Vijay says he wants more "size" in bachelorhood. Though clearly bothered by the prospect Raj eventually agrees.
Simultaneously we are shown Liz getting a makeover and Christian happily examining his brand new chest. After proudly proclaiming "Christian Troy's back in action," one woman after another comes into Christian bedroom for sex. Proudly showing off her new look, Liz walks in on Christian doing it with an attractive younger woman. A furious Liz demands the woman leave and then chastises Christian for making a fool of her. Though they both agree that monogamy was never on the table, Liz is upset that he had invited her over that night and was "rubbing my nose in" the other women. Christian apologizes and Liz agrees to keep their dinner date that night.
Sean and Liz work on Ricky's facelift. Speaking about Christian, Liz complains that "no matter what you do to the outside the inside never really changes."
Sean returns home to find Raj alone working on his laptop since Matt never showed for their tutoring session. Sean takes Raj out to dinner, introducing him to wings and beer in a fatherly way. When Matt does call, Sean essentially hangs up on his son.
We see Christian having sex with yet another woman. In the middle she shrieks "your tit, it's moving!" He goes to the mirror and sees his chest is deformed.
Christian drops by Liz's house late that same night. As Liz assures him the problem is simply that his sutures have come out, a young woman appears from her bedroom. A shocked Christian asks "you're cheating on me?" and the woman asks Liz, "You're straight?" Liz throws Christian out.
With Carrie Mae, his father and younger brother (uh-oh) looking on, Ricky's new face is unveiled. Sean takes off Ricky's gauze and everyone agrees that Ricky now looks a lot like his father. Carrie Mae's face falls.
With Vijay on the operating table, an enraged Christian bursts into the room complaining that his implant wasn't secured properly. Raj and Sean tell him it was Raj who finished the operation and Raj apologizes for his work. Vijay is furious his son screwed up, and when Raj suggests that perhaps the teachings of dad are to blame Vijay slaps his son across the face. Vijay tells Sean to "get me out of here."
Matt and Raj have a heart-to-heart over beer and weed in Matt's SUV. Raj talks about how strict his father has been, that he hit him for getting a 'B' on a physics test (the highest grade in the class) when he was nine years old. He feels that at 17 his entire life is already planned out for him and he has never really wanted to be a surgeon. Matt admits that he's closer to his sponsor that he is to Sean. The scene ends with Raj talking Matt into slamming the car door on Raj's left hand, as Raj feels this is his only way out.
With Matt and Vijay looking on, Sean works on Raj's hand. Sean tells Vijay something and we see Vijay break down in tears. In the waiting room Sean tells Matt that Raj will never have complete use of his hand. Sean tells Matt he loves him whether he becomes a doctor or not. Wondering how Raj could have hurt himself so badly, Matt tells Sean, "If you're desperate enough, you'll do whatever it takes to be heard."
Walking out of the office Matt tells Sean he wants to be an actor which Sean seems okay with. Sean gives Matt a hug.
We see Ricky returning home from work. Hearing a strange noise he walks into the bedroom and finds Carrie Mae having sex with his little brother.
Liz stands in the doorway watching Christian having sex with another woman. She closes her eyes and walks away. We see her go speak with Sean.
Sean tells Christian that Liz has resigned and the two argue over Christian and Liz's relationship. Sean says he silently hated the idea all along and it has now cost him the best anesthesiologist he's ever had. Christian thinks Liz "will get over it," but looks stunned when Sean tells him Liz is moving back to Miami.
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