In the aftermath of Christian's attack by "The Carver," Sean must forge a new partnership to keep the practice going. The police request Sean's medical expertise for an obese woman named Momma Boone who has not left her home for over three years.

Sean, Julia and Christian struggle to find a solution as Matt spirals out of control. Christian performs surgery at his former fraternity house to help cover up a hazing ritual gone awry. Christian's open relationship with Kit and Kimber loses its appeal.