An office election pits Sam and Naomi against each other to lead the practice, and ends with surprising results, while Addison treats a young Afghan girl who wants to hide her past, and Cooper's objectionable personal life catches up with his professional one.

Addison treats two pregnant women who unknowingly share the same husband, a visit from an Alzheimer's patient and her loving husband forces Sam and Naomi to look at their own relationship, Violet confronts Charlotte about her relationship with Cooper, and Dell reveals a very special woman in his life to his surprised co-workers.