Christian and Liz perform cosmetic surgery on an extraordinary ape to help her chances of reproducing. After learning that Ava is a transgender woman, Matt questions his own sexuality and heads down a dark path. Tensions escalate at McNamara/Troy.

Christian has doubts about the latest Carver victim's story. The wife of an Alzheimer's patient requests extensive cosmetic surgery to find a way back into her husband's memories. Sean finds himself under investigation by Child Protective Services.