Maxine's first day back on the job finds her removing a boy from the custody of his mother, who was one of Maxine's clients for a short time eight years earlier; although Amy is worried about Maxine's bottling up her grief, she becomes unsettled when Kyle tells her that Maxine has been talking to Charles instead of her own children; Kyle does an end-run around Lily to get an indigent patient the reconstructive surgery she desperately needs after an accident; Amy hears the custody case of a teenager whose divorced parents disagree about sending her to a school for overweight children.

Amy must decide if it's in a teenager's best interest to get married; Bruce investigates when he suspects that a teenager's probation violation isn't as innocent as his parole officer claims; Amy struggles with telling Lauren that she's dating Stu; after worrying about Gillian's insistence that the baby's fine, and a girl, Peter decides to let her hold on to her beliefs when he discovers that they're having a boy; Lily considers accepting a job offer in New York; Michael confesses to Amy that he was to blame for their divorce.