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Season 4 |
| 45 :04x01 - Cindy Plumb (Sep/05/2006) |
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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: Kathleen Turner as Cindy Plumb, 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 | Director: Ryan Murphy
Writer: Ryan Murphy | | Songs: A Taste Of Honey -- Boogie Oogie Oogie, Gotan Project -- Diferente, Hot Chocolate -- You Sexy Thing | | | |
| 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 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 | | Songs: The Stories -- Brother Louie, Bittersweet -- Heaven | | | |
| 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 | | Songs: The Flying Lizards -- Money (That's What I Want) | | | |
| 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 | | Songs: Village People -- Macho Man, The Rolling Stones -- Slave | | | | | | |
| 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: Jennifer Salt, Hank Chilton | | Songs: Jesus to a Child -- George Michael, Burt Bacharach -- This Girl's In Love With You | | | | | | |
| 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 | | Songs: Bobby McFerrin -- Don't Worry Be Happy, Bee Gees -- How Deep Is Your Love, Frankie Goes to Hollywood -- Relax | | | |
| 55 :04x11 - Conor McNamara, 2026 (Nov/14/2006) |
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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 | | | | | | | | | |
| 58 :04x14 - Willy Ward (Dec/05/2006) | | Sean comes to a decision regarding his future, but first he performs a face-lift on a ventriloquist who tells him he needs the surgery to "compete" with his puppet. Meanwhile, Gina returns with a request regarding Wilbur that Christian is not inclined to grant; James ends her association with Escobar; Matt attempts to rekindle the spark with Kimber; and Liz breaks up with Poppy. | | Guest Stars: Doug Pieschel as Marty, Jerald Carr as Porn Star, Robyn Lively as Miss Hudson, Josiah Henry as Wilber, Ed Brigadier as Manager, Ronn Lucas as Willy Ward, Sanaa Lathan as Michelle Landau, Lorna Raver as Lena Workman, Julia Di Angelo as Little Girl, James Eckhouse as Dr. Schwartz, Jacqueline Bisset as James, Robert LaSardo as Escobar Gallardo, Alanis Morissette as Poppy, Jessalyn Gilsig as Gina Russo, Linda Klein as Nurse Linda, Joshua Henry as Wilber, Adria Dawn as Parker | Director: Michael M. Robin
Writer: Jennifer Salt | | | |
| 59 :04x15 - Gala Gallardo (Dec/12/2006) | | Sean weighs a major decision concerning the practice, and Michelle's dark past comes to light, threatening her relationship with Christian. Meanwhile, Escobar seeks cosmetic surgery for his wife, who was attacked by an enemy of his. | | Guest Stars: Robert LaSardo as Escobar Gallardo, Idalis DeLeon as Gala Gallardo, Danny Strong as Bart, Linda Klein as Nurse Linda, Jack Yang (1) as Chiyo, Sanaa Lathan as Michelle Landau | Director: Ryan Murphy
Writer: Hank Chilton, Ryan Murphy | | | |
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