When a mystery illness strikes Zach, his parents rush him to the emergency room. Soon after, Doctors take Zach into emergency surgery and the Roloffa anxiously await the results.

As he recovers from emergency surgery, Zach prepares for his first date, inviting a girl he met at a Little People convention to his winter formal banquet. Jeremy seems at ease at the banquet, Zach's first date is nerve-wracking.