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Season 1 |
| 1 :01x01 - Pilot (Jul/22/2003) | Sean McNamara and Christian Troy are best friends and own a plastic surgery practice together. Their friendship and business is put to the test when Christian, unbeknownest to Sean, accepts drug money to perform surgery on a Columbian drug lord.
At home, Sean's relationship with his wife, Julia, begins to strain. | | Guest Stars: Ara Celi as Celia, Grant Vaught as Young Christian, Raymond Cruz as Alejandro, Linda Klein as Nurse Linda, Ruth Williamson as Mrs. Grubman, Kelsey Lynn Batelaan as Annie McNamara, Kelly Carlson as Kimberly Henry, Roma Maffia as Liz Winters, Rob Macie as Bartender, Karla Hernandez as 8 year old girl, Jeff Chase as Jose, Sal Lopez as Julio Esperanza, Geoffrey Rivas as Silvio Perez, Robert LaSardo as Escobar Gallardo | Director: Ryan Murphy Writer: Ryan Murphy | | | |
| 2 :01x02 - Mandi/Randi (Jul/29/2003) | | At Sean's insistence, Christian agrees to hire a staff psychologist. However, the male candidate they choose is no more ethical than Christian. As Sean and Julia continue having trouble in their marriage, Sean becomes attracted to psychologist Dr Grace Santiago. | | Guest Stars: Caitlin Dahl as Mandi, Nancy Cassaro as Suzanne, Kelsey Lynn Batelaan as Annie McNamara, Linda Klein as Nurse Linda, Roma Maffia as Liz Winters, Carmen Perez as Avanti, Melinda Dahl as Randi, Kate Mara as Vanessa, Noa Tishby as Jo, Tim Elwell as Joel Brancato, Sal Landi as Plumber, Kerry Michaels as Waitress, Katherine Disque as Temporary Anesthesiologist, Kevin Chamberlin as Dr. Pendleton | Director: Ryan Murphy Writer: Ryan Murphy | | | |
| 3 :01x03 - Nanette Babcock (Aug/05/2003) | | Christian becomes furious when Sean agrees with Grace, now the practice's in-house psychologist, about a woman's desire for extensive surgery in order to look beautiful for her high school reunion. Julia is ordered to attend anger management classes when she is reported to animal services for flushing Annie's pet gerbil down the toilet. | | Guest Stars: Sophia Bush as Ridley, Ruth Williamson as Mrs. Grubman, Roma Maffia as Liz Winters, Linda Klein as Nurse Linda, Gina Marie Fields as Airport Security Guard, Edward Moss as Mr. Diamond, Kate Mara as Vanessa, Eric Fleeks as Cop, Lindsay Hollister as Nanette Babcock | Director: Lawrence Trilling Writer: Ryan Murphy | | | |
| 4 :01x04 - Sophia Lopez (Aug/12/2003) | | Christian tries to persuade Sean to go into business with a successful pornography production company whose performers need cosmetic surgery. However, the new arrangement causes problems when the practice's more upscale clients feel uneasy. Sean examines a young transsexual, Sofia Lopez, who wants to correct a botched sex-change procedure. | | Guest Stars: Shana Wall as Sunbather, Phillip Rhys as Jude, Joey Slotnick as Merril Bobolit, Linda Klein as Nurse Linda, Jonathan Del Arco as Sophia Lopez, Lucki Wheating as Mrs. Kuzman, Catherine Dana Harrison (1) as Marcy, Jamie Hagan as Shyanne Summers, Geoffrey Lewis (1) as Marcus Grayson, Marnette Patterson as Fluffer, Brenda Strong as Isis, Tony Colitti as Male Nurse, Patti D'Arbanville as Wallace Forsythe, Mark D. Espinoza as Ron | Director: Michael M. Robin Writer: Sean Jablonski | | | |
| 5 :01x05 - Kurt Dempsey (Aug/19/2003) | | Sean and Christian interview a potential patient, a Caucasian man who wants his eyes to look Asian. Meanwhile, Julia must choose between medical school and motherhood again when she discovers that she’s pregnant. | | Guest Stars: Phillip Rhys as Jude, Roma Maffia as Liz Winters, Linda Klein as Nurse Linda, Jessalyn Gilsig as Gina, Stephanie Léon as Heidi Hollstrasser, Saemi Nakamera as Leigh Moriata, Kristen Williams as Jasmine, James Patrick Stuart as Serge, Valerie Wildman as Shelly Edwards, John Marshall Jones (1) as Victor, Vincent Angell as Kurt Dempsey, Brenda Strong as Isis, Don McManus as David Collins, George Wyner as Doctor, Gabrielle Carteris as Ellie Collins | Director: Elodie Keene Writer: Richard Levine (1), Lynnie Greene | | | |
| 6 :01x06 - Megan O'Hara (Sep/02/2003) | | When Christian's prized possessions are vandalized, he contacts the women he has wronged in the past to find the culprit. In the process, he reconsiders his behavior towards women in general. Meanwhile, Sean is invigorated after an encounter with a patient, Megan O'Hara, a chiropractor going through a divorce. | | Guest Stars: Kate Mara as Vanessa, Linda Klein as Nurse Linda, Julie Warner as Megan O'Hara, Kelly Carlson as Kimberly Henry, Rick Kelly (1) as Jim O'Hara, Harry Karp as Isaac, Sophia Bush as Ridley, Jessalyn Gilsig as Gina, David Barrera as Policeman, Luis Antonio Ramos as Nico Scamarel, Leslie Grossman as Bliss Berger | Director: Craig Zisk Writer: Jennifer Salt | | | |
| 7 :01x07 - Cliff Mantegna (Sep/09/2003) | | Julia clashes with Sean regarding how to parent Matt, but Matt appreciates his father's support. Meanwhile, Christian attempts to maintain an honest relationship with his girlfriend and Sean visits Megan O'Hara for more than just a chiropractic session. | | Guest Stars: Phillip Rhys as Jude, Julie Warner as Megan O'Hara, Linda Klein as Nurse Linda, Kate Mara as Vanessa, Kelly Carlson as Kimberly Henry, Sophia Bush as Ridley, Alex Carter (1) as Cliff Mantegna, Phina Oruche as Mia, Gerry Becker as Robert, Sydney Walsh as Alexi | Director: Scott Brazil Writer: Brad Falchuk | | | |
| 8 :01x08 - Cara Fitzgerald (Sep/16/2003) | | While driving his friend Henry home, Matt hits pedestrian Cara Fitzgerald. Guilt-stricken, Matt visits the comatose girl in hospital and meets her mother, a strict Christian Scientist who refuses to allow doctors to do any re-constructive surgery on Cara's terribly injured face. | | Guest Stars: Andrew Leeds as Henry, Linda Klein as Nurse Linda, Kelsey Lynn Batelaan as Annie McNamara, Julie Warner as Megan O'Hara, Dorothy Lucey as News Anchor, Katy Selverstone as Devon Greco, Alyson Reed (3) as Kate Fitzgerald, Jamie McShane as Father Michael Shannon | Director: Jamie Babbit Writer: Ryan Murphy | | | |
| 9 :01x09 - Sophia Lopez II (Sep/23/2003) | | Christian accompanies his girlfriend Kimber to a spa where they encounter rival plastic surgeon Merrill Bobolit. Nurse Liz becomes closely involved with male-to-female sex-change patient Sofia Lopez, while Sean and Megan finally consummate their relationship in a hotel. | | Guest Stars: Jonathan Del Arco as Sophia Lopez, Linda Klein as Nurse Linda, Roma Maffia as Liz Winters, Julie Warner as Megan O'Hara, Joey Slotnick as Merril Bobolit, Phillip Rhys as Jude, Kelly Carlson as Kimberly Henry, Pam Green as Masseuse, Kelly Mantle as Transgendered Man #2, Nancy Cassaro as Suzanne, Jazzmun as Transgendered Man | Director: Nelson McCormick Writer: Sean Jablonski | | | |
| 10 :01x10 - Adelle Coffin (Sep/30/2003) | | An error during surgery causes Christian to lose his confidence before a medical board test, and Sean is devastated by Megan's illness. When she asks him to help her commit suicide so she can die with dignity, he agrees. | | Guest Stars: Julie Warner as Megan O'Hara, Ruth Williamson as Mrs. Grubman, Linda Klein as Nurse Linda, Roma Maffia as Liz Winters, Clyde Kusatsu as Proctor Hiroshi, Joey Slotnick as Merril Bobolit, Rick Kelly (1) as Jim O'Hara, Darryl Theirse as Guard, Jerry Hardin as Sumner Charles, Jack Hannibal as Walter, Nan Martin as Adelle Coffin, Hamilton Mitchell as Ned, Jodi Taffel as Cindy | Director: Michael M. Robin Writer: Dell Chandler, Ryan Murphy | | | |
| 11 :01x11 - Montana/Sassy/Justice (Oct/07/2003) | | After operating on Montana Caine, Sean and Grace are astounded to discover that she has a multiple personality disorder. Meanwhile, two gay men beg Christian to help get medical cover for their adopted son since they can't legally receive benefits. | | Guest Stars: Cheryl White as Montana/Sassy/Justice Keane, Ivonne Coll (1) as Debbie, Linda Klein as Nurse Linda, Kelsey Lynn Batelaan as Annie McNamara, Roma Maffia as Liz Winters, Andrew Leeds as Henry, Jessalyn Gilsig as Gina, Keri Lynn Pratt as Cara Fitzgerald | Director: Michael M. Robin Writer: Lynnie Greene, Richard Levine (1) | | | |
| 12 :01x12 - Antonia Ramos (Oct/14/2003) | | Christian and Sean operate on a South American woman and discover that she’s being used to carry liquid heroin into the US in her breast implants. Ruthless Colombian drug lord Escobar Gallardo blackmails them into removing the implants and handing them over. | | Guest Stars: Jessalyn Gilsig as Gina Russo, Kelsey Lynn Batelaan as Annie McNamara, Roma Maffia as Liz Winters, Linda Klein as Nurse Linda, Robert LaSardo as Escobar Gallardo, Maritza Franco as Hard-bitten Girl, Paul Cassell (1) as Brad, Darlene Dahl as Raquel, Darlena Tejeiro as Raquel, Angelica Castro as María Amador, Susan Chuang as Pilates Instructor, Marisol Nichols as Antonia Ramos, Daniel Zacapa as Pepe, Jonathan Del Arco as Sophia Lopez, Nancy Cassaro as Suzanne | Director: Elodie Keene Writer: Jennifer Salt, Brad Falchuk | | | |
| 13 :01x13 - Escobar Gallardo (Oct/21/2003) | | In the season finale, Escobar Gallardo's demands that Sean and Christian perform free breast implant removal operations on the women he uses to smuggle heroin nearly force the practice into financial ruin. When they refuse, Escobar resorts to violence. Meanwhile, Sean's troubles at home worsen and he and Julia move closer to divorce. | | Guest Stars: Robert LaSardo as Escobar Gallardo, Roma Maffia as Liz Winters, Joey Slotnick as Merril Bobolit, Kelsey Lynn Batelaan as Annie McNamara, Jessalyn Gilsig as Gina Russo, Kelly Carlson as Kimber Henry, Frank Noon as Pawnshop Owner, Ian Abercrombie as Mr. Parks, Ricki Lopez (1) as Armand Ortiz / Jorge Barco, Tom Virtue as FBI Agent, Ivonne Coll (1) as Debbie, Daniel Zacapa as Pepe | Director: Ryan Murphy Writer: Ryan Murphy | | | | Season 2 | | | |
| 15 :02x02 - Christian Troy (Jun/29/2004) | | Christian breaks his nose during a regular round of bedroom acrobatics. This forces him to examine his own vanity. Sean's hand palsy gets worse and he has to talk to Christian while finding a solution to save his surgical career. Matt must make a decision about Cara's hit and run in order to save his friend, Henry. | | Guest Stars: Jessalyn Gilsig as Gina Russo, Brett Wagner as Prison Guard, Amy Ryder as Detective Volpe, Mayte Garcia as Ralyn, Angel Ruiz as Inmate receiving oral sex, Vanessa Redgrave as Erica Noughton, Linda Klein as Nurse Linda, Ron Marasco as Attorney for Mr. Shapiro, Carol Kiernan as Jesse Unger, Hank Harris as Calvin Murray, Orla Brady as Dr. Monica Jordan, Andrew Leeds as Henry | Director: Jamie Babbit Writer: Sean Jablonski | | | |
| 16 :02x03 - Manya Mabika (Jul/06/2004) | | A Somalian woman turns to McNamara/Troy to help reverse her country's custom of female genital mutilation. Not only do the doctors have to reconstruct her body, but her self-image. Since Julia is struggling with inner demons, Sean introduces her to a life-coach who he thinks will be able to help her. | | Guest Stars: Aisha Tyler as Manya Mabika, Stuart McLean (1) as Sal, Linda Klein as Nurse Linda, Jessalyn Gilsig as Gina Russo, Famke Janssen as Ava Moore, Mark Engelhardt as Sweaty Guy, Vanessa Redgrave as Erica Noughton, Georg Stanford Brown (1) as James Sutherland, Michael Robert Brandon (1) as Elias Perry | Director: Elodie Keene Writer: Lynnie Greene, Richard Levine (1) | | | |
| 17 :02x04 - Mrs. Grubman (Jul/13/2004) | | Annie is approaching puberty, and Julia and Sean must deal with this accordingly. Gina tells Christian that he can no longer be involved in Wilbur's life. Christian goes to see an ex to build a case against Gina, for sole custody of Wilbur. | | Guest Stars: Ruth Williamson as Mrs. Grubman, Linda Klein as Nurse Linda, Kelly Carlson as Kimberly Henry, Timothy Omundson as Jeremy, Amir Talai as Hamir Gindi, Kelsey Lynn Batelaan as Annie McNamara, Famke Janssen as Ava Moore, Sabra Williams as Physical Therapist, Nancy Cassaro as Suzanne Epstein, Carlos Cervantes as Father Joe, Georg Stanford Brown (1) as James Sutherland, Alla Korot as Claire Grubman | Director: Jamie Babbit Writer: Jennifer Salt | | | |
| 18 :02x05 - Joel Gideon (Jul/20/2004) | | Sean gets in a car accident while using his cell phone. Because of the accident, Sean develops a fear of driving and other dangerous things. This causes a dent in his career. He meets with a man about getting a job at a crash test facility. Christian is reminded that his son is no longer in his life. | | Guest Stars: Linda Klein as Nurse Linda, Jessalyn Gilsig as Gina Russo, Timothy V. Murphy (1) as Shark Dive Boat Captain, Larry Poindexter as Kipner, Georg Stanford Brown (1) as James Sutherland, Rob Mars as Diver Guide, Kelsey Lynn Batelaan as Annie McNamara, Diane Mizota as Maki, Matt Crabtree as Intern, Teddy Lane, Jr. as Officer Strand, Denise Dowse as Cicily Sutherland, Michael Cudlitz as Brody, David Weiss (1) as Six Year Old Matt, Ashley Crow as The Judge, Doug Savant as Joel Gideon | Director: Nelson McCormick Writer: Brad Falchuk | | | | | | | | | | | | |
| 22 :02x09 - Rose & Raven Rosenberg (Aug/17/2004) | | Sean wants to dissolve the practice but the two doctors must first go to New York for a high profile procedure: the separation of conjoined twins. While their Christian and Sean learn what professional separation will do to their lives. | | Guest Stars: Anoush NeVart as Maude, Wylie Small as Dr. Carrie Kozinn, Jack Coleman as Dr. Avery Atherton, Mia Korf as Therapist, Jenny O'Hara as Mrs. Rachel Rosenberg, Ajay Mehta as Dr. Shelen Givan, Linda Klein as Nurse Linda, Reba Schappell as Raven Rosenberg, Lori Schappell as Rose Rosenberg, Jon Molerio as Bartender, Jennifer O'Dell as Renee | Director: Elodie Keene Writer: Brad Falchuk, Ryan Murphy | | | | | | |
| 24 :02x11 - Natasha Charles (Aug/31/2004) | | Christian falls for his blind patient. She cannot see his handsome exterior but only into his soul for which she generally appreciates him. Sean continues to show off his new life style while rejecting Julia's attempts to reconcile. This causes Julia to make a huge decision to promote a changer in her life. | | Guest Stars: DeLane Matthews as Nurse, Brian Britt as Bartender, Ann Marie Lee (2) as Dr. Copley, Kelsey Lynn Batelaan as Annie McNamara, Kelly Carlson as Kimber Henry, Vanessa Redgrave as Erica Noughton, Andrea Bowen as Shauna Nachshi, Rebecca Gayheart as Natasha Charles, Maury Sterling as Natasha's Blind Date, Armin Shimerman as Ocularist | Director: Greer Shephard Writer: Lynnie Greene, Richard Levine (1) | | | |
| 25 :02x12 - Julia McNamara (Sep/07/2004) | | Julia suffers an accident that leaves her in bad physical and mental shape. She turns to Sean to heal her. Under anesthesia, Julia imagines what her life would be like if she had married Christian instead of Sean. | | Guest Stars: Phillip Rhys as Jude, Kelsey Lynn Batelaan as Annie McNamara, Ruth Williamson as Mrs. Grubman, Julie Warner as Megan O'Hara, Kelly Carlson as Kimber Henry, Famke Janssen as Ava Moore, Vanessa Redgrave as Erica Naughton, Linda Klein as Nurse Linda, Nancy Cassaro as Suzanne | Director: Michael M. Robin Writer: Ryan Murphy, Hank Chilton | | | |
| 26 :02x13 - Oona Wentworth (Sep/14/2004) | | Sean and Christian discover that Merill Bobbolit is doing illegal back room cosmetic surgeries. Christian is determined to help him recover. Ava bribes Christian into performing surgery on an aging high school principal. | | Guest Stars: Isabella Martinez as Lillian, Tiley Chao as Sue, Zilah Mendoza as Receptionist, Natasha Pavlovich as Hannah, Brooks Almy as Oona Wentworth, Joey Slotnick as Merril Bobolit, Seth Gabel as Adrian Moore, Famke Janssen as Ava Moore, Linda Klein as Nurse Linda, Marcia Del Mar as Romina, Karen Maruyama as Madam Rose | Director: Scott Brazil Writer: Jennifer Salt, Sean Jablonski | | | | | | |
| 28 :02x15 - Sean McNamara (Sep/28/2004) | | Sean has been doing pro-bono work on the victims of the Carver, a serial rapist who preys on the beautiful people and carves their faces as a message to society. Christian gets horrifying news that will affect his personal and professional lives. | | Guest Stars: Mary Page Keller as Andrea Hall, D. W. Moffett (1) as Kevin, Conor O'Farrell (1) as Detective, Rebecca Staab as Mrs. Camden, Bruno Campos as Dr. Quentin Costa, Linda Klein as Nurse Linda, Kelly Carlson as Kimber Henry, Jessalyn Gilsig as Gina Russo, Holly King as Porn Nurse Kimberly, Mimi Karsh as Female Carver Victim, Georg Stanford Brown (1) as James Sutherland, Colin Egglesfield as Young Sean McNamara | Director: Michael M. Robin Writer: Brad Falchuk | | | |
| 29 :02x16 - Joan Rivers (Oct/05/2004) | | Joan Rivers goes to consult with Christian and Sean, but her requests manage to astonish them. Sean, Christian and Julia learn the shocking truth about Ava - something that could destroy her life and completely devastate Matt. Sean must make a decision on how to deal with the Carver. | | Guest Stars: Linda Klein as Nurse Linda, Joan Rivers as Herself, Mario Schugel as Joe, Todd Cattell as J.T., Tasha Smith as Counselor Carol Nelson, Seth Gabel as Adrian Moore, Kelsey Lynn Batelaan as Annie McNamara, Famke Janssen as Ava Moore, William Gregory Lee (6) as Dave, Alec Baldwin as Dr. Barett Moore, Robert LaSardo as Escobar Gallardo, Conor O'Farrell (1) as Detective | Director: Ryan Murphy Writer: Ryan Murphy | | | | Season 3 |
| 30 :03x01 - Momma Boone (Sep/20/2005) | | In the aftermath of Christian's attack by "The Carver," Sean must forge a new partnership to keep the practice going. The police request Sean's medical expertise for an obese woman named Momma Boone who has not left her home for over three years. Julia realizes it is time to make a decision about the future of her marriage. | | Guest Stars: J. E. Freeman (1) as Denny Boone, Conor O'Farrell (1) as Detective Fischman, Vanessa Redgrave as Dr. Erica Noughton, Rhona Mitra as Kit McGraw, Suzanne Whang as Nurse Lee, Kathy Lamkin as Momma Boone, Alex S. Alexander (2) as June, Antonio D. Charity as fireman, Phillip Rhys as Jude, Kelsey Lynn Batelaan as Annie McNamara, Linda Klein as Nurse Linda, Alex Wexo as E.M.T. | Director: Elodie Keene Writer: Ryan Murphy | | | |
| 31 :03x02 - Kiki (Sep/27/2005) | | Christian and Liz perform cosmetic surgery on an extraordinary ape to help her chances of reproducing. After learning that Ava is a trans gender woman, Matt questions his own sexuality and heads down a dark path. Tensions escalate at McNamara/Troy as Sean and Quentin, against Christian's wishes, remove the tattoos of a gang member who wants to go straight.. | | Guest Stars: Vanessa Redgrave as Dr. Erica Noughton, Susan Papa as Sue Ann, Ricky Trammell as Hallie, Robin Bartlett (1) as Dr. Forsythe, Monnae Michaell as Detective Bowser, Jose Pablo Cantillo as Marlon Ramirez, Willam Belli as Cherry, Linda Klein as Nurse Linda, Famke Janssen as Ava Moore | Director: Elodie Keene Writer: Lynnie Greene, Richard Levine (1) | | | |
| 32 :03x03 - Derek, Alex, and Gary (Oct/04/2005) | | Sean, Julia and Christian struggle to find a common solution as Matt spirals out of control. Christian performs surgery at his former fraternity house to help cover up a hazing ritual gone awry. When Christian's open relationship with Kit--the sexy detective investigating the Carver's activities--and Kimber loses its appeal, Christian asks Quentin to help ease Kit out of the threesome. | | Guest Stars: Alexis Thorpe as Amber, Rhona Mitra as Kit McGraw, Megan Boye as Quentin's Coed, Graham Miller (1) as Gary, Aaron Moody as Alex, Kyle Howard as Kevin Miller, Adam Henderson as Derek, Linda Klein as Nurse Linda | Director: Craig Zisk Writer: Brad Falchuk | | | |
| 33 :03x04 - Rhea Reynolds (Oct/11/2005) | | Christian has doubts about the latest Carver victim's story. The wife of an Alzheimer's patient requests extensive cosmetic surgery in order to find a way back into her husband's memories. Sean finds himself under investigation by Child Protective Services after Matt files a restraining order against him. | | Guest Stars: Robin Gammell as Carl, Sherry Hursey as Lynn James, Larry Joshua as Mr. Riskin, Christopher Hoffman (3) as Serving Lawyer, Patricia Place as Trudy, Xhercis as Nurse, Linda Klein as Nurse Linda, Kelsey Lynn Batelaan as Annie McNamara, Tara Buck as Rhea Reynolds, K. Callan as Ellie Harkness, Michael B. Silver as Mr. Baerwitz | Director: Greer Shephard Writer: Jennifer Salt | | | |
| 34 :03x05 - Granville Trapp (Oct/18/2005) | | Christian becomes the prime suspect in the Carver case after police find a damning piece of evidence at the scene of the latest Carver attack. An HIV-positive man who suffers from facial wasting comes to McNamara/Troy to have his appearance restored to one of good health. | | Guest Stars: Linda Klein as Nurse Linda, Grant Vaught as Young Christian, Rhona Mitra as Kit McGraw, Andy Umberger as Cunningham, Jeff De Serrano (1) as uniformed officer, Larry Sullivan as Detective Myers, Mary Page Keller as Andrea Hall, Tara Buck as Rhea Reynolds, Kathy Baker (1) as Gail Pollack, Erik Passoja as Granville Trapp, | Uncredited: Jennifer Sciole as Nurse | Director: Jeremy Podeswa Writer: Sean Jablonski | | | | | | |
| 36 :03x07 - Ben White (Nov/01/2005) | | A patient's extreme surgical request leaves Christian struggling between what the medical establishment says is right and what the patient says will make him feel whole. After leaving McNamara/Troy, Sean takes his surgery skills to the Witness Protection Program, where he transforms the appearance of a woman, Nicole Morretti, and her son, Austin. After a De La Mer Spa client reveals her startling beauty secret to Julia, Gina and Liz, they manufacture a new signature product--and hope the main ingredient remains a secret. | | Guest Stars: Anne Heche as Nicole Morretti, Joan Rivers as Herself, Thomas Calabro as Dr. Abrams, John Billingsley as Ben White, Bob Gunton as Dr. Sagamore, Jessalyn Gilsig as Gina Russo, Linda Klein as Nurse Linda, Gigi Rice as Gretchen Carr, Tanner Richie as Austin Morretti, Mya Michaels as nurse | Director: Jeremy Podeswa Writer: Richard Levine (1), Lynnie Greene | | | |
| 37 :03x08 - Tommy Bolton (Nov/08/2005) | | Sean questions his growing romantic feelings for Nikki when he learns the dark truth about her past. The request for plastic surgery from a patient with Down Syndrome moves Christian to make contact with his birth mother, Gail Pollack. Quentin woos Julia, who welcomes the attention. | | Guest Stars: Anne Heche as Nicole Morretti, Blair Williamson as Tommy Bolton, Jessica Anne Bogart as Tom's Aunt, John Patrick Amedori as Max Pollock, Jordi Caballero as Quentin Dance DBL, Aaron James Cash as Dancer, Darby Stanchfield as Aimee Bolton, Steve Sandvoss as Evan Bolton, Kathy Baker (1) as Gail Pollack, Linda Klein as Nurse Linda, Tanner Richie as Austin Morretti | Director: Guy Ferland Writer: Brad Falchuk | | | |
| 38 :03x09 - Hannah Tedesco (Nov/15/2005) | | Christian and Quentin's mutual dislike deepens when they disagree over the ethics of a groundbreaking surgery that would enhance their medical reputations. Having fallen for Nikki, Sean can't face letting her disappear into the Witness Protection Program without him. Christian gives Kimber a pre-nuptial ultimatum: give up her career in adult films or give up the wedding. | | Guest Stars: Deirdre Lovejoy as Allie Tedesco, Anne Heche as Nicole Morretti, Tanner Richie as Austin Morretti, Shannon Schlussel as Lisa Manning, Linda Klein as Nurse Linda | Director: Michael M. Robin Writer: Sean Jablonski | | | |
| 39 :03x10 - Madison Berg (Nov/22/2005) | | Christian and Kimber put the final touches on their wedding plans, but an unsigned prenuptial agreement casts a shadow of doubt across the occasion. Christian and Sean are stunned when Matt's new girlfriend compares plastic surgery to the work of Nazis. | | Guest Stars: Jessalyn Gilsig as Gina Russo, Hallee Hirsh as Madison Berg, Brittany Snow as Ariel Alderman, | Uncredited: Jennifer Sciole as Wedding Guest | | | |
| 40 :03x11 - Abby Mays (Nov/29/2005) | | Furious that Quentin is dating Julia, Sean resolves to do whatever it takes to force Quentin out of the practice. Christian claims to be fine after Kimber's sudden exit, but his relationship with a patient indicates otherwise. Sean worries Matt may be linked to a series of hate crimes against former plastic surgery patients. | | Guest Stars: Brittany Snow as Ariel Alderman | Director: Michael M. Robin Writer: Hank Chilton | | | |
| 41 :03x12 - Sal Perri (Dec/06/2005) | | Julia fights with her visiting mother and urges her to take an earlier flight back home to New York. The plane crashes on takeoff. As a guilt-ridden Julia awaits word of her mother in a makeshift hospital, she pitches in to comfort another woman's dying mother. Sean and Christian also try to save victims, but Quentin isn't there. At the spa earlier, he said something to Julia that really gets under her skin. | | Guest Stars: Vanessa Redgrave as Erica Noughton, Mitch Pileggi as Coordinating Doctor, Linda Klein as Nurse Linda, Louis Mustillo (1) as Sal Perri | Director: David Nutter Writer: Richard Levine (1), Lynnie Greene | | | |
| 42 :03x13 - Joy Kringle (Dec/13/2005) | | A shopping-mall Mrs. Santa Claus comes to McNamara/Troy for liposuction before the holidays, but a discovery during surgery jeopardizes her marriage to Mr. Claus. Julia must make a decision that could profoundly affect the rest of her life and the lives of her family. Ariel asks Matt to help her take drastic measures to alter her appearance. | | Guest Stars: G. W. Bailey as Mr. Kringle, Brittany Snow as Ariel Alderman, Kelsey Lynn Batelaan as Annie McNamara | Director: Greer Shephard Writer: Sean Jablonski, Jennifer Salt | | | |
| 43 :03x14 - Cherry Peck (Dec/20/2005) | | The Carver's back in the picture in the third-season finale, and Christian tells Kit that Quentin should be her suspect. But first, Sean and Christian receive a bloody package. Its contents: Kimber's breast implants. Meanwhile, Julia learns something about her pregnancy; and Sean, Christian, Matt and the transsexual Matt had beaten up are involved in separate games of torture. | | Guest Stars: Suzanne Longo as Suzanne Longo, Jessalyn Gilsig as Gina Russo, Kelsey Lynn Batelaan as Annie McNamara, Sean Donnellan as Guard, Brian Kerwin as Mr. Alderman, Brittany Snow as Ariel Alderman, Rhona Mitra as Kit McGraw, Willam Belli as Cherry Peck, Linda Klein as Nurse Linda | Director: Craig Zisk Writer: Brad Falchuk, Ryan Murphy | | | |
| 44 :03x15 - Quentin Costa (Dec/20/2005) | | The Carver attacks sorority-house residents, Kit begins to close in on the elusive assailant, and the identity of the Carver is at last revealed. Elsewhere, Julia learns something about her condition; Sean, Christian, Matt and Cherry Peck are involved in separate games of torture. | | Guest Stars: Alejandra Gutierrez as Spanish Woman, Suzanne Longo as Carver Victim, Brian Kerwin as Mr. Alderman, Willam Belli as Cherry Peck, Veronica Cartwright as Mother Mary Claire, Colleen Flynn as Julia's Doctor, Jessalyn Gilsig as Gina Russo, Kelsey Lynn Batelaan as Annie McNamara, Rhona Mitra as Kit McGraw, Brittany Snow as Ariel Alderman | Director: Ryan Murphy Writer: Hank Chilton | | | | Season 4 |
| 45 :04x01 - Cindy Plumb (Sep/05/2006) | While celebrating their five-thousandth surgery, Christian and Sean meet Jill and Riley White, mother and daughter – whom Christian takes home to help with his celebration. Christian is very attracted by Riley; but ever since his break-up with Kimber, he hasn't been able to have a stable relationship, and refuses to kiss either of the girls. He starts to consult with a shrink about the direction that his life has taken and the shrink brings up some very interesting questions about his relationship with Sean.
Christian meets with Burt Landau, a patient approximately 70-years-old and his wife Michelle who is barely half his age, whom he’s been married to for just over a year. Michelle explains that Burt has prostate cancer, and after the removal of his testicles he complains that his replacement ones are not “big enough,” and asks for a pair the size of kiwis. Burt Landau explains he is managing a big firm called "Landau Industries" based on profits (benefits), and his wife offers to purchase McNamara/Troy and keep Christian and Sean on as employees.
While consulting with her doctor, Julia learns that her baby actually does have a birth deformity and doesn’t know how to tell Sean. When she finally musters up the courage he is enraged that she didn’t tell him about the possibility when it was still early “to do something about it.”
Sean meets with a 50-year-old phone-sex operator, who after 20 years of being an alcoholic and a pack-a-day smoker wants her husky/damaged voice repaired.
Matt still recuperating after the events of the last three months has turned into a semi-hermit living in his family’s garage and rarely ever coming out and Kimber is MIA.
| | Guest Stars: Kelsey Lynn Batelaan as Annie McNamara, Amanda Pays as Interior Designer, Bree Walker as (Unknown), Colleen Flynn as Dr. Allamby, Brianne Davis as Riley White, Tracy Scoggins as Jill White, Sanaa Lathan as Michelle Latham, Larry Hagman as Burt Landau, Brooke Shields as Faith Wolper, Kathleen Turner as Cindy Plumb | Director: Ryan Murphy Writer: Ryan Murphy | | | |
| 46 :04x02 - Blu Mondae (Sep/12/2006) | A rich gay man wants to have his younger boyfriend's face remolded in his image, but Christian thinks it's a bad idea. Christian also performs a breast reduction on a lap dancer for free, but new boss Michelle thinks that's a bad idea. She also doesn't approve of Sean's pro-bono work for a disfigured young man. Meanwhile, Matt runs into Kimber, who introduces him to Scientology.
| | Guest Stars: Kelsey Lynn Batelaan as Annie McNamara, Nate Mooney as Alex, Angela Little (1) as Blu Mondae, Sanaa Lathan as Michelle Latham, Jacqueline Bisset as James, Mario López as Dr. Mike Hamoui, Willam Belli as Cherry Peck, Thad Luckinbill as Mitchell, Richard Chamberlain (1) as Arthur | Director: Michael M. Robin Writer: Lynnie Greene, Richard Levine (1) | | | | | | |
| 48 :04x04 - Shari Noble (Sep/26/2006) | | Shari Noble comes in with one of her nipples bitten off, apparently by her dog. She wants it reconstructed before her husband returns from Iraq. Christian goes to a lesbian bar with Liz, where he tries to attract the attention of a woman but she's attracted to Liz instead. Sean and Christian meet with a kidney specialist for a patient of theirs. Julia talks with a breast-feeding expert. | | Guest Stars: Larry Hagman as Burt Landau, Meera Simhan as Dr. Meera Muthara, Dean Norris as Jack Clark, Marianne Muellerleile as Mrs. Gunther, Monica Dean as Organ Thief, Julie Warner as Megan O'Hara, Robert LaSardo as Escobar Gallardo, Melissa Gilbert as Shari Noble, Jacqueline Bisset as James, Peter Dinklage as Mr. Sawyer, Sanaa Lathan as Michelle Latham, Jennifer Hall as Monica Wilder | Director: Elodie Keene Writer: Hank Chilton | | | |
| 49 :04x05 - Dawn Budge (Oct/03/2006) | | A lottery winner wants Christian to perform extensive plastic surgery on her---and her husband and daughter. Christian does so, and more. He can certainly use the money because James is blackmailing him over his affair with Michelle. Elsewhere, Christian and Sean try to win Matt's affection with a Porsche, but he's leaning toward Kimber and Scientology; and Sean buys an engagement ring for Julia. | | Guest Stars: Daniel Wantland as Dwight Budge, Randee Heller as Saleswoman, Adria Dawn as Parker, Kelsey Lynn Batelaan as Annie McNamara, William Allen Young (3) as Mr. Staubeck, Misti Traya as Mallory Budge, Sanaa Lathan as Michelle Latham, Jacqueline Bisset as James, Rosie O'Donnell as Dawn Budge | Director: Elodie Keene Writer: Hank Chilton | | | |
| 50 :04x06 - Faith Wolper, PhD (Oct/10/2006) | | Therapist Faith Wolper asks Christian to remove a tattoo from a sensitive area of her body, and Burt Landau asks him to remove something from a sensitive area of his body. Later, Burt hits a nerve with Christian and Michelle. Meanwhile, Sean and Julia's second honeymoon is jeopardized by nurse Marlowe Sawyer's illness, but Monica Wilder volunteers to fill in. Sean doesn't think it's a good idea. | | Guest Stars: Sanaa Lathan as Michelle Latham, Peter Dinklage as Mr. Sawyer, Brooke Shields as Faith Wolper, Larry Hagman as Burt Landau, Robert LaSardo as Escobar Gallardo, Jennifer Hall as Monica Wilder | Director: Sean Jablonski Writer: Sean Jablonski | | | | | | |
| 52 :04x08 - Conor McNamara (Oct/24/2006) | | A secret from Sean's childhood compels him to move up Conor's surgery, despite Julia's apprehension and Marlowe's objection. Mrs. Grubman visits Christian to make her final request for cosmetic surgery. Julia and Marlowe use Conor to mask their changing relationship. | | Special Guest Stars: Mo'Nique as Evetta Washington, Peter Dinklage as Mr. Sawyer, | Guest Stars: Kendall Ryan Sanders as Young Sean, Anthony Starke as Sean's Dad, Allison Smith as Sean's Mom, Eric Steinberg as Dr. MacGaby, Travis Flory as Morgan Thompson, Stephen Lee (2) as Mr. Thompson, Kelsey Lynn Batelaan as Annie McNamara, Ruth Williamson as Mrs. Grubman | Director: Patrick McKee Writer: Hank Chilton, Jennifer Salt | | | | | | |
| 54 :04x10 - Merrill Bobolit (Nov/07/2006) | | Merrill Bobolit returns, knowing some very interesting information about Sean and Christian. This information leads back to crime lord Escobar Gallarado, who blackmails the surgeons into repairing his burned face. Sean confronts Marlowe, and the truth flows from everyone, including Matt, who's news shocks everyone. | | Special Guest Stars: Peter Dinklage as Mr. Sawyer, | Guest Stars: Luis Saguar as Prison Guard, Joey Slotnick as Merril Bobolit, Adria Dawn as Parker, Ricki Lopez (1) as Armand Ortiz / Jorge Barco, Raymond Cruz as Alejandro, Robert LaSardo as Escobar Gallardo | Director: Charles Haid Writer: Sean Jablonski, Brad Falchuk | | | |
| 55 :04x11 - Conor McNamara, 2026 (Nov/14/2006) | The episode starts out with Conor, now at 20, having a discussion with a psycologist. Conor is finally at long last, having his re-constructive surgery on his right hand, in just two days. But before the surgery takes place, Conor wishes to tie up some loose ends of his past, which is why he is seeing a psychologist.
Conor decides to organize a family dinner so that everyone may meet the surgeon that will be performing his surgery, even though, he explains, the family is not close. Conor states that Julia and Sean have separated, Matt is almost never around, and Annie feels as if she was neglected as a child, and resents Julia.
Nevertheless, the family meets at a diner. Sean almost decides to leave once he sees that Julia is at the dinner, but is soon convinced by Christian (who is also attending the dinner, and who appears to still be the playboy he was 20 years ago), and Conor to stay. Soon after, Matt arrives. Conor reveals that Matt, now a surgeon like his fathers, will be the one performing the surgery.
Sean is disappointed that he was not asked to perform the surgery, but tries to hide his emotions.
Meanwhile, back in 2006, Sean and Julia's marriage is falling apart once again.
| | Guest Stars: Bre Blair (1) as Janet, Jennifer Elise Cox (1) as Annie McNamara, 2026, Stark Sands as Conor McNamara, 2026, Kelsey Lynn Batelaan as Annie McNamara, Peter Dinklage as Mr. Sawyer, | Co-Guest Stars: Carol Kiernan as Nurse | Director: Craig Zisk Writer: Ryan Murphy | | | | | | |
| 57 :04x13 - Reefer (Nov/28/2006) | | Sean drinks heavily as he spends a gloomy Christmas without his family; Christian receives an unexpected gift when a 3-year-old Wilbur comes back into his life; and James forces Michelle to help as she takes drastic measures to fill her holiday kidney quota. | |
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