Coco the Frenchie needs Dr. Jeff's help to remove a large lump from her face. Vet tech Christine faces her fear of birds while helping pigeons from Rocky Mountain Adventures, and Dr. Jeff and Baier aid a red-back turtle with an infected foot.

Dr. Jeff and vet tech Ben head to a remote island in Panama to help with the pet population. A feisty terrier loses the battle against a German shepherd pup, while a sickly Sphynx kitten has been relinquished and needs serious medical attention.