Sean and Christian struggle to keep McNamara/Troy thriving in a failing economy, and enlist another surgeon to attain additional income. Liz receives life-altering news, and Matt and Kimber seek new, separate career paths with mixed results. Meanwhile, Sean remains distant from Teddy despite their seemingly flourishing relationship.
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Sean and Teddy make a surprising announcement. Sean discovers some troubling news about his daughter, Annie, who is in town visiting. And when a patient, Briggitte Reinholt, dies, it seems to be her own fault... but is it?
Christian struggles to understand a patient with anger-management issues. Sean and Christian learn how Matt is earning an income, despite Matt's attempts to keep it hidden. Meanwhile, Teddy convinces Annie to go on a camping trip with Sean and the rest of the family.
Julia's mother, Erica, returns newly married to a much younger man, Renaldo Panettiere, and threatens to take custody of Annie and her brother. To thwart Erica's efforts, Sean and Julia present a happy and united front. Meanwhile, Christian takes to a new patient, Alexis Stone, and Dr. Mike Hamoui reveals his future plans with Kimber.
Both Matt and Alexis Stone request unusual surgical procedures from Christian. Erica discovers the horrible truth about her new husband, Renaldo, and drops the custody case. And, after a lifetime of torment from her mother, Julia seeks revenge.
Christian's colossal financial debt leads him to deception. An unexpected visitor stirs insecurity within Christian and brings joy to Sean. Plus, Christian bonds with a young patient when he learns of the boy's adoption.
Sean experiences an ethical and moral dilemma when McNamara/Troy is requested to perform a surgical procedure on a prison inmate, Wesley Clovis. Plus, Kimber questions how far she will go to be with Christian when they receive life-changing news.
When Sean and Christian win a prestigious award from their alma mater, Sean recalls their college years and endures past pains. Plus, a new patient who self-mutilates due to a genetic disorder comes to McNamara/Troy for reconstructive surgery.
Christian refuses to perform surgery on a model who wants to drastically alter her beauty. Awakening after a decades-long coma, a new patient seeks surgery from Sean in order to regain his lost youth. Plus, Kimber redecorates Sean's new apartment.
Following a failed suicide attempt, a new patient seeks facial reconstructive surgery. Christian tries a risky maneuver with Kimber to heighten their marital passion. Sean performs pro-bono surgery with a charitable surgeon and former college friend in an attempt to quell his guilty conscious.
Christian has a crisis of conscience when Kimber's mother, Brandie, visits Los Angeles. Complications arise as Sean prepares for his trip to Africa. Plus, a patient requires multiple cosmetic procedures after suffering an attack by a wild animal.
A teenage girl seeks out Sean and Christian for answers about her late father, Escobar Gallardo, stirring tremendous guilt within Sean. Plus, a seemingly common cosmetic procedure for a struggling actress leads to chaos.
Secrets are revealed and past pains are uncovered as Sean and Christian begin psychotherapy together. Liz and Matt divulge their own confidences when they each join a therapy session.
Concerned that cosmetic surgery is no longer in vogue, Sean and Christian make a unique attempt to market their surgical practice to boost a lagging clientele. Liz goes on a date with a pharmaceutical representative who is separated from her husband. And Christian's unconscious existential crises, including his loss of Kimber, come to light.
Julia visits Sean and Christian in Los Angeles to share life-changing news - and rejects romantic advances from both men. A great love from Matt's past, someone who has caused immeasurable family chaos, turns up as Matt prepares to marry Ramona. Liz reveals that she's happily pregnant.
Sean and Christian reflect on their loving, turbulent and decades-long relationship.