When a desperate drug cartel member shows up at the doors of a Miami plastic surgery firm, two partners, one a sexually liberated playboy and the other a loyal but frustrated family man, find themselves entangled in a web of mystery.
Christian and Sean operate on identical twin sisters to change their appearance. Meanwhile, Sean goes out on his own to experience life alone and his son Matt's anxieties are revealed.
Christian and Grace debate about Nanette Babcock's mental health as she seeks drastic surgery before her next high school reunion. Shawn tries to improve his relationship with his son Matt.
Julia pursues her dream of becoming a doctor and Sean and Christian operate on a movie star. After fixing a transsexual woman's poorly performed surgery, Sean learns he has a personal relationship with the surgeon who performed it.
Sean and Christian speak with a white man who wants to have eye surgery done to appease his fiancée's traditional Japanese parents. When Sean sees a scar on one of the patients, he begins to suspect domestic abuse.
When Christian's assets are vandalized, he tries to contact the ladies he has offended in the past to discover the person responsible, as he He keeps thinking back on how he treated women. A woman with breast cancer is thinking about getting implants.
Julia finds Matt in a difficult predicament while Sean and Julia discuss their feelings for other people.
Matt hits a high school classmate with his car, and the girl's strict mother won't let her daughter, who is now scarred, get surgery.
Sofia Lopez comes back, but when she falls in love with Liz, she starts to doubt her plans for sex transition surgery. Christian is presented with an irresistible offer by Dr. Bopolit and Sean decides to take the next step in his life.
As Megan O'Hara's health declines and Mrs. Gurbman realizes she needs a purpose in life, Sean has to be honest with himself while he and Christian study for their approaching recertification exam.
While Cara recovers and becomes closer to Matt and Henry, Christian finds out he's expecting a child, and one of Sean's patients has multiple personality disorders, and each personality asks for a different procedure.
Drug lord Escobar Gallardo blackmails Christian and Sean into keeping his secret after they find a lady being used to smuggle cocaine into the US.
Christian and Sean are still being blackmailed by Escobar Gallardo, which may push Sean to kill to keep his family safe. Julia comes back for the paternity test she had previously done.