Molly announces to everyone that she's moving away for a new job opportunity, which stirs the waters of the triangle between herself, J.D. and Elliot. When J.D. and Molly end up making-out at her going-away party, Elliot plays games with J.D. when he asks for her blessing for him to sleep with Molly before she leaves town. Meanwhile, Dr. Cox has to fulfill community service hours and gets stuck riding around with a neurotic ambulance driver who drives him insane.

J.D. stirs things up with his newfound relationship with Neena the ice queen, who treats him with no regard and threatens everyone around her with her cold-hearted ways. Meanwhile, the battle in court continues between Mr. Korman, Neena, and Turk over the allegations that Turk destroyed Mr. Korman's tennis serve as a result of the shoulder surgery Turk performed on him.