Christian and Sean operate on a phone sex operator who seeks surgery to repair her signature voice.

An aristocratic gay man wants surgery to be done on his younger lover in order to make him look more distinguished.

Sean worries about Julia and the baby, while a new patient comes in requesting her nipple to be reattached after an accident.

Christian earns a fortune from a lottery millionaire who requests surgical makeovers for her entire family.

Christian's therapist reveals her obsessive, secret torment as Christian wrestles with his relationship woes.

Burt suffers from a stroke. Newly divorced Dawn Budge returns, requesting a new ear after hers was torn off by thieves.

Sean prepares for Conor's surgery, while having flashbacks to his own painful childhood scarred by a physical deformity.

Liz requests liposuction after feeling out of shape compared to her new, fitness-obsessed girlfriend.

The past haunts Christian and Sean when Merrill Bobolit returns from prison with a request from another inmate.

In the future, an adult Conor attempts to mend his emotional wounds via a gathering of his entire family.

Suffering from loneliness himself, Sean sympathizes with a forlorn client who requests her late husband's ashes to be integrated into her new breast implants.

As Sean celebrates Christmas without his family, his loneliness leads him to seek solace in alcohol, resulting in possible legal action from a patient.

A ventriliquist requests surgery from Sean to make him look like his hand puppet.

Sean considers selling his shares of the practice to Christian and Michelle, although Michelle's past starts to threaten her future with Christian. Meanwhile, Escobar's wife needs cosmetic surgery.