As J.D.'s relationship with Danni progresses, he and Dr. Cox are forced to spend more time together outside of the hospital, to Perry's great chagrin. Meanwhile, as they each deal with problems in their own relationships, Carla and Elliot work to find their own balance between their personal and professional relationships. Dr. Kelso accidentally punctures his eardrums giving the hospital staff an opportunity to tell him how they truly feel about him.

After Elliot gives a patient an orgasm during a pelvic exam and refers to patients 'private areas' using non-medical terms Dr. Kelso taunts her. Carla tells Turk that she doesn't think they should have sex again until their wedding night, the Janitor uses this information to his advantage to get back at Turk. Dr. Cox moves in with J.D. and Turk temporarily as a result of not being able to handle his relationship with Jordan.