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.

A dog called Mac is rushed in after being hit by a car. Dr. Amy performs surgery on a canine called Rebel who was impaled with a stick, while Dr. Baier helps Kino, a hound in heat even though she's been spayed twice.