Addison and Sam form a hostile takeover in order to bring the practice out of bankruptcy, as all of the doctors look for additional clients and new income streams, while Violet's friendship with Cooper is on the brink of extinction and a married couple fight for an unethical fertility treatment at Oceanside Wellness.

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.