Addison and Sam go for a hike in Malibu, and must perform urgent field care when they stumble upon an expecting couple, trapped in their car after an accident. Meanwhile at Oceanside Wellness, Charlotte, Cooper and Violet treat a newlywed who, out of nervousness for his wedding night, has taken too much Viagra, and Pete and Sheldon hit the bar scene together but fall for the same girl.

Addison performs a complex in utero surgery, proving not only her talents to her father but also finally giving them some common ground. Meanwhile Sam and Naomi deal with their own family crisis when they discover their daughter is growing up way too fast, and Violet does the unthinkable.