Christian fields surgical requests from both Alexis who wants enhancements to her trans-gender surgery, as well as Matt's cell mate, Kessler, who wants an unusual favor. Meanwhile, Julia plots to get back at her manipulative mother after years of emotional abuse. While Sean and Julia try to form a united front for custody of Annie and Connor, Erica learns troubling details about her new Italian husband, Renaldo, who is not only a gigolo but a pervert.

Sean is hit with an ethical and moral dilemma when he is offered a deal. In return for performing liposuction on an obese prisoner about to be executed, Matt would being released from prison. Christian, after discovering that Kimber is pregnant, orders her to have an abortion or lose him in the process. He does not want any more children. His issues an ultimatum when he promises to marry her if she goes through with the abortion. A desperate Kimber turns to both Liz and Mike for advice while deciding how far she is prepared to go for the man she loves. Also, Matt discovers information that could jeopardize his possible release from prison.