Escobar seeks a procedure for his wife. Christian and Michelle's future is threatened. With Julia gone and Matt and Kimber expecting a baby, Sean makes a life-changing decision.

Sean sells his share of the business. Gina re-enters Christian's life. James breaks free from Escobar -- but Michelle's nightmare begins. Matt tries to rekindle his marriage.

Sean celebrates Christmas without his family. Christian's 3-year-old son returns. James forces Michelle to help get kidneys.

Sean agrees to a patient's perverse plastic surgery request. Christian proposes marriage to Michelle, but she questions his commitment, considering his past.

In 2026, adult Conor tries to mend his emotional wounds. Adult Annie remains tormented by her upbringing. In the present, Julia moves to New York with Annie and Conor.

Old acquaintances Merrill Bobolit and Escobar Gallardo need the doctors' services. All are surprised to learn Matt is married and expecting a child. Julia tells Sean about Marlowe.

Liz gets surgery to look better for her girlfriend. James uses Christian to lure Michelle into stealing another kidney. Marlowe wants his legs lengthened.

Sean moves Conor's surgery up as Julia frets. Mrs. Grubman makes a final cosmetic surgery request. Julia and Marlowe's relationship evolves.

Dawn returns. Burt wants facial surgery. Kimber shuns Matt's advances but succumbs to Christian's. Sean struggles with the man he has become.

Sean has trouble with a past nanny. Christian is involved with his therapist. Burt notices Michelle and Christian's affair and proposes a solution.

A newly rich client wants makeovers for her entire family. James blackmails Christian. Sean makes Julia a very romantic offer. Kimber convinces Matt to move out.

Christian wants Michelle, but she resists. Sean is in a compromising situation. A patient needs a body part reattached. Christian goes with Liz to a lesbian bar.

Sean and Julia hire a nanny. Sean's desires are revealed. Liz witnesses an event that changes her relationship with Michelle.

Sean and Julia decide about their unborn baby. A gay man wants his lover to look distinguished. A woman from Michelle's past arrives.

The doctors consider a patient's proposition. A phone sex operator wants her voice more youthful. Christian sees a psychiatrist.