Two Partners in a Miami plastic surgery practice, one a sexually liberated playboy, the other a devoted yet frustrated family man find themselves caught up in a web of intrigue when a desperate drug cartel member comes to their doors.

Sean and Christian operate on identical twin sisters, who request surgery to look different from one another.

An obese woman requests drastic surgery in time for her upcoming high school reunion, leading Christian and Grace to butt heads over her mental state.

A white man requests plastic surgery on his eyes in order to please the conservative parents of his Japanese fiancée.

Sofia Lopez returns, but questions her plans for transgender surgery when she falls in love with Liz.

Sean and Christian prepare for their upcoming recertification test, but Sean is distracted by recent news.

Sean's latest patient suffers from split-personality disorder, and each personality requests a different surgery.

A drug lord blackmails Sean and Christian to remove liquid-heroin implants from one of his many drug couriers illegally entering the country.

Escobar Gallardo continues to blackmail Sean and Christian, leading Sean to potential murder to protect his family.

Julia's mother wants a facelift and insists that Sean operates on her, which worsens his worry about his hand spasms.

After Christian's nose is broken during sex, he worries about Sean correcting it.

A Somalian woman requests clitoral reconstruction after undergoing genital mutilation. Sean asks Christian for advice regarding an issue with Julia.

Sean and Julia are shocked when Annie enters early puberty. Mrs. Grubman returns, requesting a knee lift.

A mountain climber requests surgery to fix his face, after losing skin from frostbite. A car accident provokes Sean into risking his life in a series of dangerous activities.

A middle-aged woman requests liposuction in order to compete with younger women for her dream job of selling clothes.

While Sean operates on a model who was raped and scarred by a serial killer, an unsatisfied patient sets out to destroy his reputation.

Sean and Christian treat a woman who claims to be a victim of stigmata. Julia makes a startling confession to Sean.

Prepared to separate as partners following recent revelations, Christian and Sean are forced to work together to separate two conjoined twins.

Kimber, now a successful porn actress, returns, requesting Christian and Sean to surgically alter the vagina on a sex doll produced in her image.

Christian finds himself attracted to an alluring blind woman requesting new eyes. After seeing Sean with his new lover, Julia gets breast implants.

After Julia falls through a glass door, she requests for both her scarred face to be fixed, and for her new breast implants to be removed.

Christian discovers that his former rival has been working as a cheap plastic surgeon and performing dangerous operations on desperate patients.

Sean and Christian must fix the nose of an abused housewife, whose husband is in prison for killing their child.

After Sean continues to operate on victims of a dangerous killer, Sean is targeted by the killer himself.

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

Sean must operate on a morbidly obese woman as he searches for a new partner.

Liz and Christian operate on a female gorilla who must have a facial scar removed before she mates.

Christian performs surgery at his former fraternity house to help cover up a hazing ritual gone awry.

The wife of an Alzheimer's patient requests extensive cosmetic surgery in order to find a way back into her husband's memories.

Christian becomes the prime suspect in the Carver case after police find a damning piece of evidence at the scene of the latest attack.

Sean and Christian reluctantly become involved in the gruesome case of a man who reassembled a female corpse from the appendages of other dead bodies.

Christian faces a question of ethics over a patient who requests his leg be amputated for personal reasons. Sean takes his surgical skills to the FBI.

The request for plastic surgery from a patient with Down Syndrome moves Christian to make contact with his birth mother.

Christian and Quentin have an ethical disagreement over a groundbreaking surgery that would advance their medical reputations.

Christian and Kimber put the final touches on their wedding plans, but an unsigned prenuptial agreement casts a shadow of doubt across the occasion.

After being left at the altar, Christian has to move on with his life including the surgeries he has to do. A woman comes in asking to look beautiful. Christian takes his anger out on her and tells her all the other things that are wrong with her. A soldier from Iraq asks to have his war wounds fixed. Quentin seduces the young man while he's recuperating and Sean walks in on them. Sean tries to tell Julia about Quentin having an affair with a man, but Julia chooses not to listen. When Quentin finds out that Sean knew about him and the male patient, Quentin decides to quit his job at McNamara/Troy and to go and work for Julia.

When Julia's mom comes to visit and to look at Julia's very popular upcoming business, Julia's mom has nothing supportive to say, which made Julia very angry. Julia explodes at her mom telling her to take the next flight out and to stay out of her life. Later that day Julia hears that the plane that her mother took crashed right when it was taking off. Julia rushed to the air port to go see if her mom was one of the only few survivors, she quickly called Sean to come and help look and to help perform surgeries on the passengers who were trying to live. Julia also got to experience some surgeries.

Its the Christmas season and McNamara/Troy get a couple of very merry patients. A man and woman who's profession is to be Santa Claus and Mrs. Claus. They decided that they wanted to give their characters a new thinner image for children to know. When Julia is help putting up Christmas decorations she collapses. Julia goes to Sean to get her blood checked to see if there is anything wrong. She thinks it has to do with the stress of firring Quentin and getting divorced. But Sean discovers later that day, that she is pregnant. While Matt and his girlfriend Ariel are at school they see that their is an African-American nativity scene. Ariel gets very angry and has Matt help her paint the scene white.

When Chrsitian receives a very mysterious package covered in blood, he figures out that his ex-fiancé is being held hostage from "The Carver." Kit comes back to investigate Quentin who is their number one prime suspect at the moment. A transgender woman comes to get work done for her mangled face, and wants her surgery free because Sean's son is the one who beat her up and made her face look worse. Seans asks Julia to move back into the house, but Julia declines his offer. When interrogating Quentin, Kit finds a very shocking fact about him.

After nine women are attacked by "The Carver," Kit knew that he was getting very desperate and they had no leads on who the carver could be. Sean and Christian thought it was still Quentin, however he was attacked the same night as the nine women. Matt decides to break up with Ariel, but finds out that she and her dad wanted to mess with him for being friends with a transvestite. In this very shocking and nail biting season finale we find out who "The Carver," really is.

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.

After a scandalous video of him is posted on the Internet, Christian becomes self-conscious and requests plastic surgery himself.

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.

As Sean and Christian settle into their new business in Los Angeles, they operate on a movie producer whose chest was badly scarred by his dominatrix.

Sean and Christian learn about the glamorous side of fame and the price that people are willing to pay for it.

Sean is disturbed by Olivia's 18-year-old daughter Eden, who comes to McNamara/Troy for a hymen reconstruction. Matt visits L.A. with baby Jenna and claims he has left Kimber. Liz questions Julia and Olivia's relationship.

A series of unfortunate events unfold for an unlucky Dawn Budge, who seeks reparative surgery from Sean and Christian.

While a patient inspires Sean to take his relationship with Kate in a new direction, Eden uses extreme methods to persuade Christian to perform surgery on a friend.

Christian, jealous over Sean's newfound fame, convinces Sean to tape a reality show based on their careers as plastic surgeons.

As Sean tries to regain his youth through his relationship with Eden, a violent and traumatic event causes Julia to question her relationship with Olivia.

After suspecting that something more than just their Secret Santa game is going on, Sean confronts Christian and Julia about the secret they have been keeping.

As Julia's health worsens, Christian falls back into old habits. Sean hires Gina as the new receptionist in order to get back at Christian.

After Sean takes on an agent, his role on "Hearts and Scalpels" is expanded. Meanwhile, Christian questions why Gina moved to Los Angeles.

Christian attempts to cope in the aftermath of a death. Meanwhile, Colleen feels threatened when another talent agency shows interest in Sean's acting career.

Eden looks to Sean for help after getting into business with Kimber and Ram.

A television critic gives Sean a dose of the ugly side of Hollywood.

Christian and Sean help a woman who was given horrible plastic surgery in Thailand.

Christian must operate on a drummer who requests earlobe reconstruction after being dropped from his punk band.

A transgender man comes in requesting surgery to make him more masculine.

Candy Richards, the washed-up, narcissistic actress returns wanting butt implants to make her more African-American for her re-discovered roots. Meanwhile, Christian meets a feisty, chain-smoking lady named Roxy St. James at a cancer support group who asks him to perform a mastectomy to reduce the probability of her developing breast cancer. Sean becomes troubled when Olivia wants a full makeover for herself as she and Julia are planning to move back east. Olivia (unknown to everyone) is emotionally stressed to her breaking point after covering up her psycho daughter Eden's murder attempt on Julia. But it naturally all turns out bad... even for the innocent and the evil alike.

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.

A yoga coach approaches the surgeons to request an operation they have to invent: a penis reduction, because he's so limber and horny he can't resist giving himself a contortionist blow-job almost all day. Aidan Stone wants revenge for his career being wrecked by Sean taking over the lead in his medical soap opera. An inappropriate picture may do the trick. Christian reluctantly looks into Kimber's demand to fix Matt's baby's "villainously thin" lips for an infant modeling career.

Sean begins to feel boring and unwilling to take risks with Teddy, so he decides to impress her by making rash decisions. McNamara/Troy treat a patient with a very unique condition - a virus that gives him painful warts. Christian and Sean try to make the man look and feel human again, but they later discover that the warts continue to grow back. Christian relates with this patient because he earlier discovered that his breast cancer came back and even stronger. Christian only has six months to live so he decides to fly to Miami to propose to Liz.

With Christian learning that he only has six months to live, he proposes marriage to Liz to live out his last days in peace. Liz's overbearing mother arrives in town and immediately begins criticizing everything about the upcoming wedding and Liz, who asks for a breast reduction to fit into her family's wedding dress. Meanwhile, Christian hires the flamboyant Logan Taper as his replacement, but he brings an unusual and disturbing fetish with him. While Sean continues to enjoy his secret romance with Teddy, he and Christian are called upon by a former client, Allegra Caldarello, for plastic surgery per her dying husband's wishes.

While Christian and Liz prepare for their upcoming wedding, Kimber finds herself homeless after both Ram and Eden kick her out. She asks Matt to look after their baby daughter while she finally learns about Christian and Liz's upcoming ceremony and naturally tries to talk to Liz from going through with it. Christian brings up an idea about being cryogenically frozen to save his life. Meanwhile, Sean does not know that the seductive Teddy has a double life as the nurse "Dixie Collins" in Las Vegas and is carrying on with the sleazy Dr. Harlan Frank, who is also unaware of her double life in L.A, and her homicidal tendencies. Elsewhere, Christian and Sean deal with a self-proclaimed vampire couple who ask for surgery to repair scaring from their regular blood drinking.

Christian and Sean struggle to keep their business thriving in a failing economy, and enlist another surgeon to attain additional income.

Christian and Sean are hired by the parents of a neo-punk rocker to have his tattoos and self-mutilation scars removed.

Sean makes a life-changing decision when he elopes to Vegas to marry Teddy, while she continues to hide her past as a serial killer of men to steal their life insurance policy. But Teddy takes action when an eccentric patient recognizes her from her days as 'Nurse Dixie' and Teddy again resorts to murder to protect her charade. Meanwhile, Mike asks Chrisitan for advice on courting Kimber, so Christian takes Mike to a cross-dressing boutique. Sean's estranged daughter, Annie, comes for a visit and reveals a serious mental and medical condition, while Matt decides to continue on his path of being the 'criminal mime'.

Christian has a hard time understanding his patient's anger-management problem. She is a large-breasted exotic dancer, named Jenny Juggs, and uses her massive cleavage as a weapon. Meanwhile, Christian and Sean grow suspicious of Matt being the store-robbing mime when he suddenly had large quantities of cash. Elsewhere, Teddy persuades Sean to invite Annie and Conor on a camping trip, where Teddy waits for the right time to murder him and the two kids for Sean's life insurance money. However, Teddy runs into some trouble of her own when she has a run-in at the camp site with another serial killer who's even sicker than she... and who turns out to be a killer of women.

Sean struggles to stay sane in the aftermath of Teddy's attempt on his life and her disappearance, and Matt's situation when he is injured while attempting to rob another convenience store. The perpetually angry and bitter Julia arrives back in town and she and Sean immediately begin quarreling over Sean's lack of insight. Matt, fearing jail time, flees from the hospital and attempts to persuade Kimber to come to Mexico with him. Also, Sean deals with a shocking revelation about Teddy when her past life as a 'black widow' comes out when the police arrest her killer who was aware of her plan to kill Sean. Abigail Sullivan is a local pianist who asks Sean and Christian to surgically remove an parasitic twin from her shoulder.

Julia's crafty and controlling mother, Erica, arrives in Los Angeles with her new Italian, boy-toy husband, Renaldo Panettiere, in tow. Shortly after her arrival, Erica announces to Sean and Julia her plans to take both Annie and Conor into her sole custody, manipulating an incarcerated Matt to testify against his dysfunctional parents in the process. Meanwhile, Mike announces his engagement to Kimber, an event which forces both Christian and Kimber to reconsider their own complicated relationship. Liz attempts to fix the situation between her and Christian. Elsewhere, Christian has sex with yet another random woman, Alexis Stone, a bartender who soon reveals that she is a male-to-female transsexual who wishes to undergo surgery to become a man once again.

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.

A medical consultation with one of Liz's friends, named Lola Wlodkowski, causes Christian to examine his romance with Kimber. Meanwhile, Sean begins to emotionally heal after an encounter with a pair of perfection seeking patients, named Tracy and Skip, who model themselves in the exact likeness of Barbie and Ken dolls.

Christian reluctantly gives banker Bjorn Nilsson's magnificent adolescent adopted son Benny plastic surgery to physically resemble his father. Afterward, he's shocked to hear the boy is shamelessly exploited at exclusive party sex. Christian extracts $400,000 from Bjorn, who even tried weaseling out of paying, but although is need of money to pay his tax arrears, hands it all to make Benny independent of the swine. Sean has taken is his brother Brendan, who once again claims to have abandoned drugs. Christian's warnings seem to come true when valuables disappear. Brendan's buddy Jay proves utterly unworthy of free surgery.

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.

Three months later, as they prepare to accept a prestigious award from their alma mater, Sean grows increasingly tired of covering up Christian's numerous indiscretions, a pattern going back to their first initial meeting in college. Kimber, now married to Christian and working as an interior decorator, heads up the remodeling of the McNamara/Troy practice, but continues to worry about Christian's fidelity. Also, a new patient named Dan Daly, suffering from the self-mutilating disorder Lesch-Nyhan syndrome, comes to McNamara/Troy for reconstructive surgery.

Kimber grows frustrated by changes in Christian's physical appearance and his lack of respect for her new career, pushing her into the arms of her newest interior design client: Sean. Meanwhile, Christian refuses to operate on a former supermodel named Willow Banks, who wants to surgically alter her face in an effort to look ordinary. Also, Sean operates on Rupert Kenney, a survivor of an 18-year coma who wants to both look and feel like his younger self.

Kimber reaches an emotional crossroads in regards to both her crumbling marriage to Christian and her secret affair with Sean. Meanwhile, Christian comes to a point of clarity over his marriage while experimenting with the dangerous sex act of auto-erotic asphyxiation. Sean reunites with his humanitarian college friend, Dr. Curtis Ryerson, and becomes interested in performing more pro-bono surgery. Also, Sean and Christian fix the face of a man who survived a suicide attempt jumping from the Golden Gate Bridge.

Kimber's suicide devastates Christian, who seeks emotional comfort with her estranged mother, Brandy, who arrives in Los Angeles for the funeral. Sean postpones his trip to Africa with Curtis out of respect for Christian's pain despite knowing that the narcissistic Christian will get over it quickly. When Curtis goes to Africa alone, Sean has an intimate encounter with Curtis' doctor wife Sarah. Sean and Christian operate on a woman, Sheila Carlton, whose face was horrifically scarred by the pet chimpanzee owned by her best friend Jane, who herself is emotionally crippled with guilt over killing the animal to save her friend's life.

Sean and Christian are forced to re-visit past actions when Aurelia Gallardo, the daughter of the deceased crime lord Escobar Gallardo, shows up at McNamara/Troy seeking answers about her late father, stirring tremendous guilt within Sean. Meanwhile, Christian's decision to operate on a small-town girl, Virgina Hayes, seeking surgery to make her a Hollywood "10" backfires, exposing an elaborate con in the process.

Sean and Christian begin group psychotherapy in an attempt to resolve their escalating problems, with both revealing long-held secrets and their true perspectives on one another. Liz joins in with therapy too, revealing her own opinions on the Sean/Christian relationship, as well as a secret she has been keeping from Christian. Meanwhile, Matt announces his plans for his own future and introduces Sean and Christian to his fiancée Ramona.

Sean and Christian face a troubling future for their practice when they discover a growing market in "injectable" procedures, which many believe will signal the death of plastic surgery. While under anesthetic during face lift surgery, Christian enters a dream world where he encounters past patients, experiences Sean's disappointments, comes to terms with Kimber's death, and he meets his late biological father. Meanwhile, Liz dates a pharmaceutical rep who is separated from her husband.

Julia visits Sean and Christian in Los Angeles to share some life-changing news, and she also rejects romantic advances from both men. Meanwhile, Matt gets a blast from his past when Ava Moore, who caused immeasurable family chaos years ago, turns up as Matt prepares to marry Ramona. Also, Liz reveals that she's happily pregnant.

In the series finale, Christian agrees with Ava to operate on baby Raphael in exchange for her to stay out of Matt's life who has abandoned everyone to be with Ava. While preparing to leave for London, Julia worries about Sean's mental state of mind as he continues to be in denial about his feelings of abandonment. Liz is overwhelmed by Sean's excitement over her pregnancy when he adds her name to the practice and sets up a nursery at the office. Christian's worry about Julia moving far away, and a vision of the deceased Kimber forces him to reconsider his long-standing relationship with Sean. Also, Hiro Yoshimura is elderly Japanese porn star who comes to McNamara/Troy requesting surgery to remove a surgical scar before his big debut in an American porn movie.

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

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

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

With Christian learning that he only has six months to live, he proposes marriage to Liz to live out his last days in peace. Liz's overbearing mother arrives in town and immediately begins criticizing everything about the upcoming wedding and Liz, who asks for a breast reduction to fit into her family's wedding dress. Meanwhile, Christian hires the flamboyant Logan Taper as his replacement, but he brings an unusual and disturbing fetish with him. While Sean continues to enjoy his secret romance with Teddy, he and Christian are called upon by a former client, Allegra Caldarello, for plastic surgery per her dying husband's wishes.

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.

Kimber, now a successful porn actress, returns, requesting Christian and Sean to surgically alter the vagina on a sex doll produced in her image.

A transgender man comes in requesting surgery to make him more masculine.

After a scandalous video of him is posted on the Internet, Christian becomes self-conscious and requests plastic surgery himself.

A Somalian woman requests clitoral reconstruction after undergoing genital mutilation. Sean asks Christian for advice regarding an issue with Julia.

Candy Richards, the washed-up, narcissistic actress returns wanting butt implants to make her more African-American for her re-discovered roots. Meanwhile, Christian meets a feisty, chain-smoking lady named Roxy St. James at a cancer support group who asks him to perform a mastectomy to reduce the probability of her developing breast cancer. Sean becomes troubled when Olivia wants a full makeover for herself as she and Julia are planning to move back east. Olivia (unknown to everyone) is emotionally stressed to her breaking point after covering up her psycho daughter Eden's murder attempt on Julia. But it naturally all turns out bad... even for the innocent and the evil alike.