When Carol's patient finally makes the liver donation list, she is upset by the lack of emotion from his transplant surgeon, Dr. Lewis. Also, Lexie, Daniel and Caleb try to decipher why Dr. Jacobs has a tattoo of a duck.

When the interns tease Carol that her relationship with Dr. Lewis might be moving too fast, Carol tries to sabotage his chance at winning a romantic getaway for them. Also, Dr. Jacobs, Lexie and Caleb help a patient with a serious case of.. a curling iron stuck in her hair before her wedding day.