Ho, oh, no! It is the holiday season in Michigan and Dr. Pol and his team make their patient list, check it twice, and treat those who are naughty, spotty, snotty, and nice! The clinic meets with a dog owner who suspects her dog ate Christmas lights and Dr. Pol rushes the young pup in for an emergency x-ray. Meanwhile, Dr. Emily rushes to help a calf with an enormous amount of fluid in its lungs.

Broken toes, worm infestations, and nursing puppies send the clinic into a whirlwind. Dr. Pol and Diane are short-handed and Charles goes out of town at the last minute, so the Pols call in some backup. Dr. Pol and Diane's grandchildren, Adam and Rachel, hurry to help out. Stakes are high Dr. Emily performs two lifesaving surgeries on one of the worst cases she's ever seen!