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When a cardiac surgeon and his heavily pregnant partner's efforts to surprise each other go spectacularly wrong, Karen and Al have to save the day.
Zara doesn't know what to do about Izzie's secret, Princess tries to avoid her mother's calls, and Al finds himself unwittingly playing marriage counsellor to a couple who are struggling to adapt to life with a newborn.
Princess has to deal with her mum, Daniel oversteps with Izzie, Valerie starts planning the Christmas party, and Bear looks into a strange prescription.