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.

When Matt hits one of his fellow high schoolers with his car, the girl's strict mother refuses to allow surgery to be performed on her now-disfigured daughter.

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.

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.

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.

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.

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

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.

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.

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

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

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

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.

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.

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.

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.

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 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.

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

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

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

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

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

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.

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