Nothing is too big when Phil and Claire decide to throw Luke the biggest and best birthday party a boy could ever want. But when Cameron shows up as Fizbo, the Clown, it sets of a chain of events that ends with someone in the hospital.

Gloria is less than pleased with Jay's reaction to the arrival of Javier, Manny's infamously unreliable dad. Meanwhile, Phil is suffering from kidney stones and his dramatics leave Claire no other choice but to call for the hot firemen to rush him to the hospital, and Mitchell and Cameron have a harder time than Lily as they attempt to sleep train her.