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Nip/Tuck Episode Guide

1 :01x01 - Pilot

First aired: Jul/22/2003
Writer: Ryan Murphy
Director: Ryan Murphy
Guest star: Ara Celi (Celia), Grant Vaught (Young Christian), Raymond Cruz (Alejandro), Linda Klein (Nurse Linda), Ruth Williamson (Mrs. Grubman), Kelsey Lynn Batelaan (Annie McNamara), Kelly Carlson (Kimberly Henry), Roma Maffia (Liz Winters), Rob Macie (Bartender), Karla Hernandez (8 year old girl), Jeff Chase (Jose), Sal Lopez (Julio Esperanza), Geoffrey Rivas (Silvio Perez), Robert LaSardo (Escobar Gallardo)

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.



2 :01x02 - Mandi/Randi

First aired: Jul/29/2003
Writer: Ryan Murphy
Director: Ryan Murphy
Guest star: Caitlin Dahl (Mandi), Nancy Cassaro (Suzanne), Kelsey Lynn Batelaan (Annie McNamara), Linda Klein (Nurse Linda), Roma Maffia (Liz Winters), Carmen Perez (Avanti), Melinda Dahl (Randi), Kate Mara (Vanessa), Noa Tishby (Jo), Tim Elwell (Joel Brancato), Sal Landi (Plumber), Kerry Michaels (Waitress), Katherine Disque (Temporary Anesthesiologist), Kevin Chamberlin (Dr. Pendleton)

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.



3 :01x03 - Nanette Babcock

First aired: Aug/05/2003
Writer: Ryan Murphy
Director: Lawrence Trilling
Guest star: Sophia Bush (Ridley), Ruth Williamson (Mrs. Grubman), Roma Maffia (Liz Winters), Linda Klein (Nurse Linda), Gina Marie Fields (Airport Security Guard), Edward Moss (Mr. Diamond), Kate Mara (Vanessa), Eric Fleeks (Cop), Lindsay Hollister (Nanette Babcock)

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.



4 :01x04 - Sophia Lopez

First aired: Aug/12/2003
Writer: Sean Jablonski
Director: Michael M. Robin
Guest star: Shana Wall (Sunbather), Phillip Rhys (Jude), Joey Slotnick (Merril Bobolit), Linda Klein (Nurse Linda), Jonathan Del Arco (Sophia Lopez), Lucki Wheating (Mrs. Kuzman), Catherine Dana Harrison (Marcy), Jamie Hagan (Shyanne Summers), Geoffrey Lewis (Marcus Grayson), Marnette Patterson (Fluffer), Brenda Strong (Isis), Tony Colitti (Male Nurse), Patti D'Arbanville (Wallace Forsythe), Mark D. Espinoza (Ron)

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.



5 :01x05 - Kurt Dempsey

First aired: Aug/19/2003
Writer: Lynnie Greene, Richard Levine
Director: Elodie Keene
Guest star: Phillip Rhys (Jude), Roma Maffia (Liz Winters), Linda Klein (Nurse Linda), Jessalyn Gilsig (Gina), Stephanie Léon (Heidi Hollstrasser), Saemi Nakamura (Leigh Moriata), Kristen Williams (Jasmine), James Patrick Stuart (Serge), Valerie Wildman (Shelly Edwards), John Marshall Jones (Victor), Vincent Angell (Kurt Dempsey), Brenda Strong (Isis), Don McManus (David Collins), George Wyner (Doctor), Gabrielle Carteris (Ellie Collins)

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.



6 :01x06 - Megan O'Hara

First aired: Sep/02/2003
Writer: Jennifer Salt
Director: Craig Zisk
Guest star: Kate Mara (Vanessa), Linda Klein (Nurse Linda), Julie Warner (Megan O'Hara), Kelly Carlson (Kimberly Henry), Rick Kelly (Jim O'Hara), Harry Karp (Isaac), Sophia Bush (Ridley), Jessalyn Gilsig (Gina), David Barrera (Policeman), Luis Antonio Ramos (Nico Scamarel), Leslie Grossman (Bliss Berger)

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.



7 :01x07 - Cliff Mantegna

First aired: Sep/09/2003
Writer: Brad Falchuk
Director: Scott Brazil
Guest star: Phillip Rhys (Jude), Julie Warner (Megan O'Hara), Linda Klein (Nurse Linda), Kate Mara (Vanessa), Kelly Carlson (Kimberly Henry), Sophia Bush (Ridley), Alex Carter (Cliff Mantegna), Phina Oruche (Mia), Gerry Becker (Robert), Sydney Walsh (Alexi)

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.



8 :01x08 - Cara Fitzgerald

First aired: Sep/16/2003
Writer: Ryan Murphy
Director: Jamie Babbit
Guest star: Andrew Leeds (Henry), Linda Klein (Nurse Linda), Kelsey Lynn Batelaan (Annie McNamara), Julie Warner (Megan O'Hara), Dorothy Lucey (News Anchor), Katy Selverstone (Devon Greco), Alyson Reed (Kate Fitzgerald), Jamie McShane (Father Michael Shannon)

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.



9 :01x09 - Sophia Lopez II

First aired: Sep/23/2003
Writer: Sean Jablonski
Director: Nelson McCormick
Guest star: Jonathan Del Arco (Sophia Lopez), Linda Klein (Nurse Linda), Roma Maffia (Liz Winters), Julie Warner (Megan O'Hara), Joey Slotnick (Merril Bobolit), Phillip Rhys (Jude), Kelly Carlson (Kimberly Henry), Pam Green (Masseuse), Kelly Mantle (Transgendered Man #2), Nancy Cassaro (Suzanne), Jazzmun (Transgendered Man)

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.



10 :01x10 - Adelle Coffin

First aired: Sep/30/2003
Writer: Ryan Murphy, Dell Chandler
Director: Michael M. Robin
Guest star: Julie Warner (Megan O'Hara), Ruth Williamson (Mrs. Grubman), Linda Klein (Nurse Linda), Roma Maffia (Liz Winters), Clyde Kusatsu (Proctor Hiroshi), Joey Slotnick (Merril Bobolit), Rick Kelly (Jim O'Hara), Darryl Theirse (Guard), Jerry Hardin (Sumner Charles), Jack Hannibal (Walter), Nan Martin (Adelle Coffin), Hamilton Mitchell (Ned), Jodi Taffel (Cindy)

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.



11 :01x11 - Montana/Sassy/Justice

First aired: Oct/07/2003
Writer: Lynnie Greene, Richard Levine
Director: Michael M. Robin
Guest star: Cheryl White (Montana/Sassy/Justice Keane), Ivonne Coll (Debbie), Linda Klein (Nurse Linda), Kelsey Lynn Batelaan (Annie McNamara), Roma Maffia (Liz Winters), Andrew Leeds (Henry), Jessalyn Gilsig (Gina), Keri Lynn Pratt (Cara Fitzgerald)

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.



12 :01x12 - Antonia Ramos

First aired: Oct/14/2003
Writer: Brad Falchuk, Jennifer Salt
Director: Elodie Keene
Guest star: Jessalyn Gilsig (Gina Russo), Kelsey Lynn Batelaan (Annie McNamara), Roma Maffia (Liz Winters), Linda Klein (Nurse Linda), Robert LaSardo (Escobar Gallardo), Maritza Franco (Hard-bitten Girl), Paul Cassell (Brad), Darlene Dahl (Raquel), Darlena Tejeiro (Raquel), Angelica Castro (María Amador), Susan Chuang (Pilates Instructor), Marisol Nichols (Antonia Ramos), Daniel Zacapa (Pepe), Jonathan Del Arco (Sophia Lopez), Nancy Cassaro (Suzanne)

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.



13 :01x13 - Escobar Gallardo

First aired: Oct/21/2003
Writer: Ryan Murphy
Director: Ryan Murphy
Guest star: Robert LaSardo (Escobar Gallardo), Roma Maffia (Liz Winters), Joey Slotnick (Merril Bobolit), Kelsey Lynn Batelaan (Annie McNamara), Jessalyn Gilsig (Gina Russo), Kelly Carlson (Kimber Henry), Frank Noon (Pawnshop Owner), Ian Abercrombie (Mr. Parks), Ricki Lopez (Armand Ortiz / Jorge Barco), Tom Virtue (FBI Agent), Ivonne Coll (Debbie), Daniel Zacapa (Pepe)

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.



14 :02x01 - Erica Noughton

First aired: Jun/22/2004
Writer: Ryan Murphy
Director: Ryan Murphy
Guest star: Linda Klein (Nurse Linda), Kelsey Lynn Batelaan (Annie McNamara), Vanessa Redgrave (Dr. Erica Noughton), Ryan McTavish (Young Guy), Portia Dawson (Kelly Appleton), Jessalyn Gilsig (Gina), Austin Tichenor (Marty), Chris Diamantopoulos (Chad Myers)

Sean turns 40 and begins to rethink everything in his life. Christian wants to stop his feelings of aging and decides that taking care of Wilbur will make him a better person, and the father that he never had. Julia is shocked to get a visit from her mother, an overbearing woman who demands Sean give her a face lift.



15 :02x02 - Christian Troy

First aired: Jun/29/2004
Writer: Sean Jablonski
Director: Jamie Babbit
Guest star: Jessalyn Gilsig (Gina Russo), Brett Wagner (Prison Guard), Amy Ryder (Detective Volpe), Mayte Garcia (Ralyn), Angel Ruiz (Inmate receiving oral sex), Vanessa Redgrave (Erica Noughton), Linda Klein (Nurse Linda), Ron Marasco (Attorney for Mr. Shapiro), Carol Kiernan (Jesse Unger), Hank Harris (Calvin Murray), Orla Brady (Dr. Monica Jordan), Andrew Leeds (Henry)

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.



16 :02x03 - Manya Mabika

First aired: Jul/06/2004
Writer: Lynnie Greene, Richard Levine
Director: Elodie Keene
Guest star: Aisha Tyler (Manya Mabika), Stuart McLean (Sal), Linda Klein (Nurse Linda), Jessalyn Gilsig (Gina Russo), Famke Janssen (Ava Moore), Mark Engelhardt (Sweaty Guy), Vanessa Redgrave (Erica Noughton), Georg Stanford Brown (James Sutherland), Michael Robert Brandon (Elias Perry)

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.



17 :02x04 - Mrs. Grubman

First aired: Jul/13/2004
Writer: Jennifer Salt
Director: Jamie Babbit
Guest star: Ruth Williamson (Mrs. Grubman), Linda Klein (Nurse Linda), Kelly Carlson (Kimberly Henry), Timothy Omundson (Jeremy), Amir Talai (Hamir Gindi), Kelsey Lynn Batelaan (Annie McNamara), Famke Janssen (Ava Moore), Sabra Williams (Physical Therapist), Nancy Cassaro (Suzanne Epstein), Carlos Cervantes (Father Joe), Georg Stanford Brown (James Sutherland), Alla Korot (Claire Grubman)

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.



18 :02x05 - Joel Gideon

First aired: Jul/20/2004
Writer: Brad Falchuk
Director: Nelson McCormick
Guest star: Linda Klein (Nurse Linda), Jessalyn Gilsig (Gina Russo), Timothy V. Murphy (Shark Dive Boat Captain), Larry Poindexter (Kipner), Georg Stanford Brown (James Sutherland), Rob Mars (Diver Guide), Kelsey Lynn Batelaan (Annie McNamara), Diane Mizota (Maki), Matt Crabtree (Intern), Teddy Lane, Jr. (Officer Strand), Denise Dowse (Cicily Sutherland), Michael Cudlitz (Brody), David Weiss (Six Year Old Matt), Ashley Crow (The Judge), Doug Savant (Joel Gideon)

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.



19 :02x06 - Bobbi Broderick

First aired: Jul/27/2004
Writer: Lynnie Greene, Richard Levine
Director: Michael M. Robin
Guest star: Jill Clayburgh (Bobbi Broderick), Linda Klein (Nurse Linda), Seth Gabel (Adrian Moore), Famke Janssen (Ava Moore), Alaine Hausman (Alegra Calderello), Steve Hasley (Maitr'd), Richard Portnow (Mr. Calderello), J. Marvin Campbell (Cop #1), Billy Mayo (Cop #2)

Bobbi Broderick is convinced that Sean lied to her about her lip. She goes a personal smear campaign aimed at McNamara/Troy. Ava offers Matt sex in exchange for him bringing his grades up. A woman who has had her lips burnt off goes to Christian and Sean for help. Ava learns who Matt's real father is.



20 :02x07 - Naomi Gaines

First aired: Aug/03/2004
Writer: Sean Jablonski
Director: Craig Zisk
Guest star: Jill Clayburgh (Bobbi Broderick), Linda Klein (Nurse Linda), Seth Gabel (Adrian Moore), Famke Janssen (Ava Moore), Mary Page Keller (Andrea Hall), Barbara Tarbuck (Mrs. Declan), Leslie Bibb (Naomi Gaines)

A local model is disfigured by an attacker, known as the Carver. Sean does pro-bono work to repair her injuries. This puts McNamara/Troy into the media spotlight. Matt begins to get uncomfortable with Ava's increasing relationship demands. She opens Matt up to a secret that threatens to destroy his existence.



21 :02x08 - Agatha Ripp

First aired: Aug/10/2004
Writer: Ryan Murphy
Director: Michael M. Robin
Guest star: John Aylward (Father), Cynthia Martells (Dr. Cynthia Adams), Yeniffer Behrens (Mrs. Tejera), Linda Klein (Nurse Linda), Sarah Paulson (Agatha Ripp), Fionnula Flanagan (Sister)

Christian and Sean assist a woman experiencing a religious phenomenon, when she shows up with stigmata wounds. Christian tries to help Matt with his new love. Julia reveals her secret to Sean who takes it out on her and Christian.



22 :02x09 - Rose & Raven Rosenberg

First aired: Aug/17/2004
Writer: Brad Falchuk, Ryan Murphy
Director: Elodie Keene
Guest star: Anoush NeVart (Maude), Wylie Small (Dr. Carrie Kozinn), Jack Coleman (Dr. Avery Atherton), Mia Korf (Therapist), Jenny O'Hara (Mrs. Rachel Rosenberg), Ajay Mehta (Dr. Shelen Givan), Linda Klein (Nurse Linda), Reba Schappell (Raven Rosenberg), Lori Schappell (Rose Rosenberg), Jon Molerio (Bartender), Jennifer O'Dell (Renee)

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.



23 :02x10 - Kimber Henry

First aired: Aug/24/2004
Writer: Jennifer Salt
Director: Nelson McCormick
Guest star: Jessica Steen (Amy Connors), Linda Klein (Nurse Linda), Kelsey Lynn Batelaan (Annie McNamara), Kelly Carlson (Kimber Henry), J. K. Simmons (Ike Connors), Jeffrey R. Nordling (Roger)

While his marriage dissolves, Sean find solace in the company of Kimber. She needs his help with her new business opportunity. A male journalist wants to get breast implants so he can better understand his wife's battle with breast cancer, and get material for his new book.



24 :02x11 - Natasha Charles

First aired: Aug/31/2004
Writer: Lynnie Greene, Richard Levine
Director: Greer Shephard
Guest star: DeLane Matthews (Nurse), Brian Britt (Bartender), Ann Marie Lee (Dr. Copley), Kelsey Lynn Batelaan (Annie McNamara), Kelly Carlson (Kimber Henry), Vanessa Redgrave (Erica Noughton), Andrea Bowen (Shauna Nachshi), Rebecca Gayheart (Natasha Charles), Maury Sterling (Natasha's Blind Date), Armin Shimerman (Ocularist)

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.



25 :02x12 - Julia McNamara

First aired: Sep/07/2004
Writer: Brad Falchuk, Ryan Murphy
Director: Michael M. Robin
Guest star: Phillip Rhys (Jude), Kelsey Lynn Batelaan (Annie McNamara), Ruth Williamson (Mrs. Grubman), Julie Warner (Megan O'Hara), Kelly Carlson (Kimber Henry), Famke Janssen (Ava Moore), Vanessa Redgrave (Erica Naughton), Linda Klein (Nurse Linda), Nancy Cassaro (Suzanne)

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.



26 :02x13 - Oona Wentworth

First aired: Sep/14/2004
Writer: Jennifer Salt, Sean Jablonski
Director: Scott Brazil
Guest star: Isabella Martinez (Lillian), Tiley Chao (Sue), Zilah Mendoza (Receptionist), Natasha Pavlovich (Hannah), Brooks Almy (Oona Wentworth), Joey Slotnick (Merril Bobolit), Seth Gabel (Adrian Moore), Famke Janssen (Ava Moore), Linda Klein (Nurse Linda), Marcia Del Mar (Romina), Karen Maruyama (Madam Rose)

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.



27 :02x14 - Trudy Nye

First aired: Sep/21/2004
Writer: Hank Chilton
Director: Elodie Keene
Guest star: Rebecca Gayheart (Natasha Charles), Lisa Waltz (Trudy Nye), T. J. Thyne (video store guy), D. W. Moffett (Kevin Hodgekiss), Andrew Borba (Stan Nye), Kelly Carlson (Kimber Henry), Seth Gabel (Adrian Moore), Famke Janssen (Ava Moore), Michael Stellman (Brat #2)

Sean and Christian repair the face of a woman who has been abused by her husband. They discover that they have only enabled the woman's abuser. Sean and Julia confront Ava about her relationship with her son, Adrian. They are trying to get Matt back.



28 :02x15 - Sean McNamara

First aired: Sep/28/2004
Writer: Brad Falchuk
Director: Michael M. Robin
Guest star: Mary Page Keller (Andrea Hall), D. W. Moffett (Kevin), Conor O'Farrell (Detective), Rebecca Staab (Mrs. Camden), Bruno Campos (Dr. Quentin Costa), Linda Klein (Nurse Linda), Kelly Carlson (Kimber Henry), Jessalyn Gilsig (Gina Russo), Holly King (Porn Nurse Kimberly), Mimi Karsh (Female Carver Victim), Georg Stanford Brown (James Sutherland), Colin Egglesfield (Young Sean McNamara)

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.



29 :02x16 - Joan Rivers

First aired: Oct/05/2004
Writer: Ryan Murphy
Director: Ryan Murphy
Guest star: Linda Klein (Nurse Linda), Joan Rivers (Herself), Mario Schugel (Joe), Todd Cattell (J.T.), Tasha Smith (Counselor Carol Nelson), Seth Gabel (Adrian Moore), Kelsey Lynn Batelaan (Annie McNamara), Famke Janssen (Ava Moore), William Gregory Lee (Dave), Alec Baldwin (Dr. Barett Moore), Robert LaSardo (Escobar Gallardo), Conor O'Farrell (Detective)

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.



30 :03x01 - Momma Boone

First aired: Sep/20/2005
Writer: Ryan Murphy
Director: Elodie Keene
Guest star: J. E. Freeman (Denny Boone), Conor O'Farrell (Detective Fischman), Vanessa Redgrave (Dr. Erica Noughton), Rhona Mitra (Kit McGraw), Suzanne Whang (Nurse Lee), Kathy Lamkin (Momma Boone), Alex Alexander (June), Antonio D. Charity (fireman), Phillip Rhys (Jude), Kelsey Lynn Batelaan (Annie McNamara), Linda Klein (Nurse Linda), Alex Wexo (E.M.T.)

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.



31 :03x02 - Kiki

First aired: Sep/27/2005
Writer: Richard Levine, Lynnie Greene
Director: Elodie Keene
Guest star: Vanessa Redgrave (Dr. Erica Noughton), Susan Papa (Sue Ann), Ricky Trammell (Hallie), Robin Bartlett (Dr. Forsythe), Monnae Michaell (Detective Bowser), Jose Pablo Cantillo (Marlon Ramirez), Willam Belli (Cherry), Linda Klein (Nurse Linda), Famke Janssen (Ava Moore)

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..



32 :03x03 - Derek, Alex, and Gary

First aired: Oct/04/2005
Writer: Brad Falchuk
Director: Craig Zisk
Guest star: Alexis Thorpe (Amber), Rhona Mitra (Kit McGraw), Megan Boye (Quentin's Coed), Graham Miller (Gary), Aaron Moody (Alex), Kyle Howard (Kevin Miller), Adam Henderson (Derek), Linda Klein (Nurse Linda)

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.



33 :03x04 - Rhea Reynolds

First aired: Oct/11/2005
Writer: Jennifer Salt
Director: Greer Shephard
Guest star: Robin Gammell (Carl), Sherry Hursey (Lynn James), Larry Joshua (Mr. Riskin), Christopher Hoffman (Serving Lawyer), Patricia Place (Trudy), Xhercis (Nurse), Linda Klein (Nurse Linda), Kelsey Lynn Batelaan (Annie McNamara), Tara Buck (Rhea Reynolds), K. Callan (Ellie Harkness), Michael B. Silver (Mr. Baerwitz)

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.



34 :03x05 - Granville Trapp

First aired: Oct/18/2005
Writer: Sean Jablonski
Director: Jeremy Podeswa
Guest star: Linda Klein (Nurse Linda), Grant Vaught (Young Christian), Rhona Mitra (Kit McGraw), Andy Umberger (Cunningham), Jeff De Serrano (uniformed officer), Larry Sullivan (Detective Myers), Mary Page Keller (Andrea Hall), Tara Buck (Rhea Reynolds), Kathy Baker (Gail Pollack), Erik Passoja (Granville Trapp), Jennifer Sciole (Nurse)

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.



35 :03x06 - Frankenlaura

First aired: Oct/25/2005
Writer: Hank Chilton
Director: Michael M. Robin
Guest star: John Prosky (Glen Easley), Alejandro Furth (Concrete Delivery Man), Lois Hall (Mrs. Ogulvie), Rosemarie Belden (Dagmar Hansen-Tagen), Darlene Kardon (Old Lady #1), Raphael Sbarge (Silas Prine), Jessalyn Gilsig (Gina Russo), Linda Klein (Nurse Linda)

McNamara/Troy is in dire financial straits after Christian's arrest. Gina returns and forms an unexpected business alliance with Julia. Sean and Christian reluctantly become involved in the gruesome case of a man who reassembled a female corpse from the appendages of other dead bodies.



36 :03x07 - Ben White

First aired: Nov/01/2005
Writer: Richard Levine, Lynnie Greene
Director: Jeremy Podeswa
Guest star: Anne Heche (Nicole Morretti), Joan Rivers (Herself), Thomas Calabro (Dr. Abrams), John Billingsley (Ben White), Bob Gunton (Dr. Sagamore), Jessalyn Gilsig (Gina Russo), Linda Klein (Nurse Linda), Gigi Rice (Gretchen Carr), Tanner Richie (Austin Morretti), Mya Michaels (nurse)

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.



37 :03x08 - Tommy Bolton

First aired: Nov/08/2005
Writer: Brad Falchuk
Director: Guy Ferland
Guest star: Anne Heche (Nicole Morretti), Blair Williamson (Tommy Bolton), Jessica Anne Bogart (Tom's Aunt), John Patrick Amedori (Max Pollock), Jordi Caballero (Quentin Dance DBL), Aaron James Cash (Dancer), Darby Stanchfield (Aimee Bolton), Steve Sandvoss (Evan Bolton), Kathy Baker (Gail Pollack), Linda Klein (Nurse Linda), Tanner Richie (Austin Morretti)

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.



38 :03x09 - Hannah Tedesco

First aired: Nov/15/2005
Writer: Sean Jablonski
Director: Michael M. Robin
Guest star: Deirdre Lovejoy (Allie Tedesco), Anne Heche (Nicole Morretti), Tanner Richie (Austin Morretti), Shannon Schlussel (Lisa Manning), Linda Klein (Nurse Linda)

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.



39 :03x10 - Madison Berg

First aired: Nov/22/2005
Writer: Jennifer Salt
Director: Greg Yaitanes
Guest star: Jessalyn Gilsig (Gina Russo), Hallee Hirsh (Madison Berg), Brittany Snow (Ariel Alderman), Jennifer Sciole (Wedding Guest)

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.



40 :03x11 - Abby Mays

First aired: Nov/29/2005
Writer: Hank Chilton
Director: Michael M. Robin
Guest star: Brittany Snow (Ariel Alderman), Bryce Johnson (Corporal Oliver Brandt)

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.



41 :03x12 - Sal Perri

First aired: Dec/06/2005
Writer: Lynnie Greene, Richard Levine
Director: David Nutter
Guest star: Vanessa Redgrave (Erica Noughton), Mitch Pileggi (Coordinating Doctor), Linda Klein (Nurse Linda), Louis Mustillo (Sal Perri)

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.



42 :03x13 - Joy Kringle

First aired: Dec/13/2005
Writer: Jennifer Salt, Sean Jablonski
Director: Greer Shephard
Guest star: G. W. Bailey (Mr. Kringle), Brittany Snow (Ariel Alderman), Kelsey Lynn Batelaan (Annie McNamara)

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.



43 :03x14 - Cherry Peck

First aired: Dec/20/2005
Writer: Brad Falchuk, Hank Chilton
Director: Craig Zisk
Guest star: Suzanne Longo (Suzanne Longo), Jessalyn Gilsig (Gina Russo), Kelsey Lynn Batelaan (Annie McNamara), Sean Donnellan (Guard), Brian Kerwin (Mr. Alderman), Brittany Snow (Ariel Alderman), Rhona Mitra (Kit McGraw), Willam Belli (Cherry Peck), Linda Klein (Nurse Linda)

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.



44 :03x15 - Quentin Costa

First aired: Dec/20/2005
Writer: Ryan Murphy
Director: Ryan Murphy
Guest star: Alejandra Gutierrez (Spanish Woman), Suzanne Longo (Carver Victim), Brian Kerwin (Mr. Alderman), Willam Belli (Cherry Peck), Veronica Cartwright (Mother Mary Claire), Colleen Flynn (Julia's Doctor), Jessalyn Gilsig (Gina Russo), Kelsey Lynn Batelaan (Annie McNamara), Rhona Mitra (Kit McGraw), Brittany Snow (Ariel Alderman)

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.



45 :04x01 - Cindy Plumb

First aired: Sep/05/2006
Writer: Ryan Murphy
Director: Ryan Murphy
Guest star: Kelsey Lynn Batelaan (Annie McNamara), Amanda Pays (Interior Designer), Bree Walker ((Unknown)), Colleen Flynn (Dr. Allamby), Brianne Davis (Riley White), Tracy Scoggins (Jill White), Sanaa Lathan (Michelle Latham), Larry Hagman (Burt Landau), Brooke Shields (Faith Wolper), Kathleen Turner (Cindy Plumb)

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.



46 :04x02 - Blu Mondae

First aired: Sep/12/2006
Writer: Lynnie Greene, Richard Levine
Director: Michael M. Robin
Guest star: Kelsey Lynn Batelaan (Annie McNamara), Nate Mooney (Alex), Angela Little (Blu Mondae), Sanaa Lathan (Michelle Latham), Jacqueline Bisset (James), Mario López (Dr. Mike Hamoui), Willam Belli (Cherry Peck), Thad Luckinbill (Mitchell), Richard Chamberlain (Arthur)

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.



47 :04x03 - Monica Wilder

First aired: Sep/19/2006
Writer: Brad Falchuk
Director: Elodie Keene
Guest star: Kelsey Lynn Batelaan (Annie McNamara), Colleen Flynn (Dr. Allamby), Jennifer Hall (Monica Wilder), Sanaa Lathan (Michelle Latham), Peter Dinklage (Mr. Sawyer), Mario López (Dr. Mike Hamoui)

Sean and Julia interview a possible nanny. They both like her a lot. Sean got a hybrid car. Christian goes to the gym and is envious of another plastic surgeon there who's in much better shape than he is. Christian encounters a changed Matt in the gym.



48 :04x04 - Shari Noble

First aired: Sep/26/2006
Writer: Jennifer Salt
Director: Nelson McCormick
Guest star: Larry Hagman (Burt Landau), Meera Simhan (Dr. Meera Muthara), Dean Norris (Jack Clark), Marianne Muellerleile (Mrs. Gunther), Monica Dean (Organ Thief), Julie Warner (Megan O'Hara), Robert LaSardo (Escobar Gallardo), Melissa Gilbert (Shari Noble), Jacqueline Bisset (James), Peter Dinklage (Mr. Sawyer), Sanaa Lathan (Michelle Latham), Jennifer Hall (Monica Wilder)

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.



49 :04x05 - Dawn Budge

First aired: Oct/03/2006
Writer: Hank Chilton
Director: Elodie Keene
Guest star: Daniel Wantland (Dwight Budge), Randee Heller (Saleswoman), Adria Dawn (Parker), Kelsey Lynn Batelaan (Annie McNamara), William Allen Young (Mr. Staubeck), Misti Traya (Mallory Budge), Sanaa Lathan (Michelle Latham), Jacqueline Bisset (James), Rosie O'Donnell (Dawn Budge)

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.



50 :04x06 - Faith Wolper, PhD

First aired: Oct/10/2006
Writer: Sean Jablonski
Director: Sean Jablonski
Guest star: Sanaa Lathan (Michelle Latham), Peter Dinklage (Mr. Sawyer), Brooke Shields (Faith Wolper), Larry Hagman (Burt Landau), Robert LaSardo (Escobar Gallardo), Jennifer Hall (Monica Wilder)

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.



51 :04x07 - Burt Landau

First aired: Oct/17/2006
Writer: Brad Falchuk
Director: Charles Haid
Guest star: Stephen Spinella ((Unknown)), Maria Thayer ((Unknown)), Larry Hagman (Burt Landau), Meera Simhan (Dr. Meera Muthara), Sanaa Lathan (Michelle Latham), Rosie O'Donnell (Dawn Budge), Linda Klein (Nurse Linda), Tommy Hasou (Mr. Rodriguez)

Liz collapses at work, because her sole kidney is only working at 10% anymore. Christian and Sean are going to take the test if they can donate one of their kidneys. Burt Landau wants a re-constructive surgery for his face after a stroke caused by the side effects from Viagra.



52 :04x08 - Conor McNamara

First aired: Oct/24/2006
Writer: Jennifer Salt, Hank Chilton
Director: Patrick McKee
Guest star: Mo'Nique (Evetta Washington), Peter Dinklage (Mr. Sawyer), Kendall Ryan Sanders (Young Sean), Anthony Starke (Sean's Dad), Allison Smith (Sean's Mom), Eric Steinberg (Dr. MacGaby), Travis Flory (Morgan Thompson), Stephen Lee (Mr. Thompson), Kelsey Lynn Batelaan (Annie McNamara), Ruth Williamson (Mrs. Grubman)

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.



53 :04x09 - Liz Cruz

First aired: Oct/31/2006
Writer: Richard Levine, Lynnie Greene
Director: Richard Levine
Guest star: Sanaa Lathan (Michelle Latham), Alanis Morissette (Poppy), Jacqueline Bisset (James), Peter Dinklage (Mr. Sawyer), Kate McGregor-Stewart (Nurse Francis), Jack Yang (James' superior), Larry Hagman (Burt Landau)

Liz has cosmetic surgery at the request of her new girlfriend, Poppy; a desperate James uses Christian to lure Michelle into helping her steal another kidney; and Sean offers a surgical consult to Marlowe, who wants a leg-lengthening procedure in order to impress the woman he loves.



54 :04x10 - Merrill Bobolit

First aired: Nov/07/2006
Writer: Sean Jablonski, Brad Falchuk
Director: Charles Haid
Guest star: Peter Dinklage (Mr. Sawyer), Luis Saguar (Prison Guard), Joey Slotnick (Merril Bobolit), Adria Dawn (Parker), Ricki Lopez (Armand Ortiz / Jorge Barco), Raymond Cruz (Alejandro), Robert LaSardo (Escobar Gallardo)

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.



55 :04x11 - Conor McNamara, 2026

First aired: Nov/14/2006
Writer: Ryan Murphy
Director: Craig Zisk
Guest star: Bre Blair (Janet), Jennifer Elise Cox (Annie McNamara, 2026), Stark Sands (Conor McNamara, 2026), Kelsey Lynn Batelaan (Annie McNamara), Peter Dinklage (Mr. Sawyer), Carol Kiernan (Nurse)

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.



56 :04x12 - Diana Lubey

First aired: Nov/21/2006
Writer: Sean Jablonski
Director: Charles Haid
Guest star: Rebecca Metz (Abby Mays), Rebecca Gayheart (Natasha Charles), Mario López (Dr. Mike Hamoui), Sanaa Lathan (Michelle Latham), Brenda Vaccaro ((Unknown)), Brooke Shields (Faith Wolper), Jacqueline Bisset (James), Catherine Deneuve (Diana Lubey)

Christian proposes to Michelle even though he doubts his ability to maintain a long-term relationship; a lonely Sean takes a morbid case for reasons that have as much to do with himself as with the patient; and James wants to use the McNamara/Troy OR for her own operations.



57 :04x13 - Reefer

First aired: Nov/28/2006
Writer: Lynnie Greene, Richard Levine
Director: Lynnie Greene
Guest star: Sanaa Lathan (Michelle Landau), Linda Klein (Nurse Linda), Alanis Morissette (Poppy), Charles Haid (Reefer), Jacqueline Bisset (James)

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.



58 :04x14 - Willy Ward

First aired: Dec/05/2006
Writer: Jennifer Salt
Director: Michael M. Robin
Guest star: Doug Pieschel (Marty), Jerald Carr (Porn Star), Robyn Lively (Miss Hudson), Josiah Henry (Wilber), Ed Brigadier (Manager), Ronn Lucas (Willy Ward), Sanaa Lathan (Michelle Landau), Lorna Raver (Lena Workman), Julia Di Angelo (Little Girl), James Eckhouse (Dr. Schwartz), Jacqueline Bisset (James), Robert LaSardo (Escobar Gallardo), Alanis Morissette (Poppy), Jessalyn Gilsig (Gina Russo), Linda Klein (Nurse Linda), Joshua Henry (Wilber), Adria Dawn (Parker)

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.



59 :04x15 - Gala Gallardo

First aired: Dec/12/2006
Writer: Ryan Murphy, Hank Chilton
Director: Ryan Murphy
Guest star: Sanaa Lathan (Michelle Landau), Jack Yang (Chiyo), Linda Klein (Nurse Linda), Danny Strong (Bart), Idalis DeLeon (Gala Gallardo), Robert LaSardo (Escobar Gallardo)

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.



60 :05x01 - Carly Summers

First aired: Oct/30/2007
Writer: Ryan Murphy
Director: Charles Haid
Guest star: Richard Wharton (Repo Man), Brittany Ishibashi (Girl in Club), Andrea Bogart (Actress), Serena Scott Thomas (Miranda), Lauren Hutton (Fiona McNeil), Tia Carrere (Mistress Dark Pain), Paula Marshall (Kate Tinsley), Linda Klein (Nurse Linda)

Christian and Sean try to rebuild their practice at a new location. Meanwhile, a Hollywood publicist offers to help rebuild their image.



61 :05x02 - Joyce & Sharon Monroe

First aired: Nov/06/2007
Writer: Ryan Murphy
Director: Charles Haid
Guest star: Lauren Hutton (Fiona McNeil), Susan Griffiths (Joyce Monroe), Merilee Brasch (Sharon Monroe), Kelsey Lynn Batelaan (Annie McNamara), Paula Marshall (Kate Tinsley), Bradley Cooper (Aidan Stone), Leslie Bega (Photographer), Portia de Rossi (Olivia Lord)

Sean and Christian begin to realize the price they are willing to pay for fame. Meanwhile, Julia visits Sean, Christian and Liz in Lost Angeles.



62 :05x03 - Everett Poe

First aired: Nov/13/2007
Writer: Richard Levine, Lynnie Greene
Director: Richard Levine
Guest star: Michael Des Barres (Everett Poe), Susan Blakely (Valerie Farrell), Kelsey Lynn Batelaan (Annie McNamara), Paula Marshall (Kate Tinsley), Linda Klein (Nurse Linda), AnnaLynne McCord (Eden Lord), Portia de Rossi (Olivia Lord)

Sean and Julia examine their family dynamic and Sean continues to resist Eden's forward advances. Meanwhile, Kate reveals her compulsion and Matt arrives in Los Angeles.



63 :05x04 - Dawn Budge II

First aired: Nov/20/2007
Writer: Jennifer Salt
Director: Charles Haid
Guest star: Michael Monks (Mr. Blunt), Jack Plotnick (Dr George), Tamara Craig Thomas (The Nun), Claudia Christian (Gwen), Oliver Platt (Freddy Prune), Portia de Rossi (Olivia Lord), Paula Marshall (Kate Tinsley), Kelsey Lynn Batelaan (Annie McNamara), Linda Klein (Nurse Linda), AnnaLynne McCord (Annie and Eden), Rosie O'Donnell (Dawn Budge)

The unlucky Dawn Budge returns to get more services from Sean and Christian. Meanwhile, Annie and Eden continue to bond which worries Sean.



64 :05x05 - Chaz Darling

First aired: Nov/27/2007
Writer: Sean Jablonski
Director: Sean Jablonski
Guest star: Lisa Arturo (Busty), Boris Kodjoe (Mr Forrest), Portia de Rossi (Olivia Lord), Paula Marshall (Kate Tinsley), AnnaLynne McCord (Eden Lord), John Schneider (Ram), Joel Bissonnette (Rob), Linda Klein (Nurse Linda), Jai Rodriguez (Chaz Darling)

Sean is inspired by a patient to further his relationship with Kate. Eden goes to extremes to surgery performed on a friend by Christian. Kimber seeks help from a former business associate after she and Matt fall on hard times.



65 :05x06 - Damien Sands

First aired: Dec/04/2007
Writer: Hank Chilton
Director: Charles Haid
Guest star: Steve Monroe (Gabriel Marks), Ian Buchanan (Damien Sands), Leslie Grossman (Bliss Berger), AnnaLynne McCord (Eden Lord), Tiffany Pollard (New York), Linda Klein (Nurse Linda), Portia de Rossi (Olivia Lord)

Christian, horning in on Sean's newfound fame, convinces him to film a reality based show concerning their plastic surgery careers.



66 :05x07 - Dr. Joshua Lee

First aired: Dec/11/2007
Writer: Brad Falchuk
Director: Brad Falchuk
Guest star: The Blackhearts (Themselves (Performers - "Do You Wanna Touch Me (Oh Yeah)?")), John Schneider (Ram Peters), Robyn Moran (Real Wendy), Michael Wiseman (Police Officer), Gary Basaraba (Arthur), Anil Kumar (Dr. Anakali), Bradley Cooper (Aidan Stone), Portia de Rossi (Olivia Lord), Linda Klein (Nurse Linda), AnnaLynne McCord (Eden Lord), Hudson Leick (Fake Wendy), George Coe (Dr Joshua Lee)

Sean uses his relationship with Eden to recapture his youth. Also, a violent and traumatic event makes Julia question her relationship with Olivia and Matt is devastated by Kimber's decision.



67 :05x08 - Duke Collins

First aired: Dec/18/2007
Writer: Lynnie Greene, Richard Levine
Director: Elodie Keene
Guest star: Mary Pat Gleason (Carol McCrackin), Joel McKinnon Miller (Duke Collins), John Schneider (Ram Peters), AnnaLynne McCord (Eden Lord), Maggie Siff (Rachel Ben Natan), Jackie Debatin (Nancy Collins), Kelsey Lynn Batelaan (Annie McNamara), Portia de Rossi (Olivia Lord), Linda Klein (Nurse Linda)

A secret about Julia that Christian has keeping to himself is discovered by Sean. Matt forms a bond with his rehabilitation counselor at the hospital. Meanwhile, Eden's peace agreement with Julia seems suspicious, while Kimber and Ram reveal their plans for the future.



68 :05x09 - Rachel Ben Natan

First aired: Jan/15/2008
Writer: Jennifer Salt
Director: Charles Haid
Guest star: Brooke Dillman (Jan), Dylan Ramsey (Sayid), Bradley Cooper (Aidan Stone), Rosie O'Donnell (Dawn Budge), Maggie Siff (Rachel Ben Natan), Jessalyn Gilsig (Gina Russo), Oliver Platt (Freddy Prune), Linda Klein (Nurse Linda)

"Hearts 'n' Scalpels" producer Dawn Budge, refuses to allow the show to join a gay-pride parade. Meanwhile, Christian starts with his old habits again, and Sean hires Gina as a receptionist, to get back at Christian because of Julia. Also, Matt's disfigured rehab counselor, Rachael Ben Natan, sees Sean when ever experiencing a face pain, but the case is more intense than it seems.



69 :05x10 - Magda and Jeff

First aired: Jan/22/2008
Writer: Hank Chilton
Director: Craig Zisk
Guest star: Robert Gant (Jeff Morris), Sharon Gless (Colleen Rose), Selma Stern (Magda), Kevin Cooney (Doctor Hughes), Justin Klinger (Nurse Billy), Oliver Platt (Freddy Prune), Bradley Cooper (Aidan Stone), AnnaLynne McCord (Eden Lord), Jessalyn Gilsig (Gina Russo), Paula Marshall (Kate Tinsley), Marlee Matlin (Barbara Shapiro), Angel Oquendo (Oscar Aureilles)

An older woman wants the effects of her younger husband's electrolysis procedure undone by Sean and Christian. Meanwhile, a talent agent is hired by Sean; Christian wants to know why Gina is moving to Los Angeles; and Julia's illness is still a mystery.



70 :05x11 - Kyle Ainge

First aired: Jan/29/2008
Writer: Hank Chilton, Brad Falchuk
Director: Dirk Wallace Craft
Guest star: Lily Rabe (Lanie Ainge), Scott Klace (Mourner), Jose Yenque (Manuel), Jan Hoag (Margot), Todd Cahoon (Bob Levitts), Kathleen Rose Perkins (Tabitha Maloney), Sharon Gless (Colleen Rose), Jeff Hephner (Kyle Ainge), Linda Klein (Nurse Linda)

Christian attempts to move on in the wake of Gina's death. Also, when another agency becomes interested in Sean's career, Colleen feels her business is being threatened.



71 :05x12 - Lulu Grandiron

First aired: Feb/05/2008
Writer: Brad Falchuk
Director: Brad Falchuk
Guest star: Gregory Zarian (Dr. Joseph Berkowitz), Shari Belafonte (Catherine Wicke), Deborah Shelton (Marla Middleton), Joan Van Ark (Annette Wainwright), John Schneider (Ram Peters), Leslie Grossman (Bliss Berger), AnnaLynne McCord (Eden Lord), Donna Mills (Lulu Grandiron), Sharon Gless (Colleen Rose), Linda Klein (Nurse Linda)

Sean helps out Eden when she joins Kimber and Ram in business. Christian is hired by a group of socialites to perform their cosmetic surgery wants, and Sean sees a different side of Colleen.



72 :05x13 - August Walden

First aired: Feb/12/2008
Writer: Sean Jablonski
Director: Sean Jablonski
Guest star: Steven J. Oliver (August Walden), Maggie Siff (Rachel Ben Natan), Portia de Rossi (Olivia Lord), AnnaLynne McCord (Eden Lord), Paula Marshall (Kate Tinsley), Dave Giuntoli (Barista), Jeannine Kaspar (Emme Lowell), Linda Klein (Nurse Linda)

Sean is shown the ugly side of Hollywood from a TV critic, while Matt and one of Christine's patients experience a close bond. Also, Julia finally gets an explanation of why she's been ailing.



73 :05x14 - Candy Richards

First aired: Feb/19/2008
Writer: Jennifer Salt
Director: Richard Levine
Guest star: Michael Mantell (Julia's Doctor), Paul Fitzgerald (Gary Gold), Joyce Guy (Policewoman), Lisa Darr (Darlene Lowell), Jeannine Kaspar (Emme Lowell), AnnaLynne McCord (Eden Lord), Sharon Gless (Colleen Rose), Portia de Rossi (Olivia Lord), Jennifer Coolidge (Candy Richards), Kelsey Lynn Batelaan (Annie McNamara), Linda Klein (Nurse Linda)

Julia discovers the cause of her poor health as tragedy strikes the McNamara/Troy family. Meanwhile, revealing news from Christians past is uncovered by a visitor, and Sean finds that fame comes with a price.



74 :05x15 - Ronnie Chase

First aired: Jan/06/2009
Writer: Ryan Murphy
Director: Brad Falchuk
Guest star: Damien Leake (Dr Moss), Kelsey Lynn Batelaan (Annie McNamara), Jaime Ray Newman (Daphne Pendell), Sharon Gless (Colleen Rose), Adhir Kalyan (Dr Raj Paresh)

After surviving the attack by Colleen, Sean's physical and emotional well-being are still feeling the effects. Meanwhile, Christian receives some disturbing news after lending Liz some moral support with her breast cancer scare.



75 :05x16 - Gene Shelly

First aired: Jan/13/2009
Writer: Richard Levine, Lynnie Greene
Director: Richard Levine
Guest star: Adhir Kalyan (Dr Raj Paresh), Jaime Ray Newman (Daphne Pendell), John Fleck (Gene Shelly), Beth Gargan (Tracey Shelly), Kristin Minter (Kitty)

Liz is drawn closer to Christian due to his illness, and Sean reconnects with his family.



76 :05x17 - Roxy St. James

First aired: Jan/27/2009
Writer: Jennifer Salt
Director: Lynnie Greene

Sean tries to come to grips on her feelings for Julia, as he prepares to operate on Olivia. Liz and Christian analyze their relationship after having an intimate encounter. Christian meets someone who is familiar with his emotions as he attends a breast-cancer support group.



77 :05x18 - Ricky Wells

First aired: Feb/03/2009
Writer: Brad Falchuk
Director: John Scott
Guest star: Lisa Howard (Liz's Date), Iqbal Theba (Dr Vijay Paresh), Brando Eaton (Ricky Wells), Suzanne Cryer (Carrie-Mae Wells), Adhir Kalyan (Dr Raj Paresh)

Matt notices that Sean and Raj are starting to bond like father and son, as he questions his own decision to become a doctor. Suddenly, Raj's father shows up and stuns him with a request. Meanwhile, Christian and Liz want to work on making their relationship work out, and Sean tries to make an 18-year old look older with surgery. The young man has just married his former teacher, who served prison time because of their relationship.



78 :05x19 - Manny Skerrit

First aired: Feb/10/2009
Writer: Ryan Murphy
Director: Dirk Wallace Craft
Guest star: Kazu Nagahama (hollywood casting director (baby audition segment)), Misha Collins (Yoga Instructer (Limber))

Aidan Stone, a down-on-his- luck writer who has written a biopic about Sean, wants to use it to relaunch his career. Christian is asked by Kimber to give a Botox injection to her daughter so she has a better chance at becoming a baby model. Sean and Christian have been asked by a yoga instructor to perform a procedure in which neither have ever done before.



79 :05x20 - Budi Sabri

First aired: Feb/17/2009
Writer: Hank Chilton
Director: Hank Chilton

A horribly disfigured man is worked on by Christian and Sean. Meanwhile, Sean hopes to strike up a relationship with the new anesthesiologist Teddy Rowe, and Christian goes for a check up with his oncologist.



80 :05x21 - Allegra Calderello

First aired: Feb/24/2009
Writer: Sean Jablonski
Director: Sean Jablonski

While preparing for a big event, Lizzie has a clash with her mother, and Christian searches for a new surgeon for the practice. He chooses Dr. Logan Taper, who loves his new office. Meanwhile, a dying man insists his wife comes back and receives more plastic surgery from Sean, so she can attract the right kind of suitor after he's gone.



81 :05x22 - Giselle Blaylock & Legend Chandler

First aired: Mar/03/2009
Writer: Lynnie Greene, Richard Levine
Director: Lynnie Greene

As Christian and Liz make their wedding plans, he also looks for a new cancer treatment. Meanwhile, Ram Peters drops Kimber for a newer model, while Teddy informs Sean that someone close to her is gone, and Sean and Christian repair a couples neck wounds which look strikingly similar at McNamara/Troy.



82 :06x01 - Don Hoberman

First aired: Oct/14/2009
Writer: Ryan Murphy
Director: Brad Falchuk

Sean and Christian are in a struggle keeping McNamara/Troy thriving. Matt and Kimber find their career paths to have mixed results. Sean remains distant from Teddy.



83 :06x02 - Enigma

First aired: Oct/21/2009
Writer: Lynnie Greene, Richard Levine
Director: John Scott
Guest star: Rose McGowan (Dr. Theodora 'Teddy' Rowe), Parker Croft (Jared "Enigma" McCloud), Tom Lenk (Corey), Todd Waring (Garth McCloud), Joan McMurtrey (Amanda McCloud), Amy Price Francis (Vivien), Mario López (Dr. Mike Hamoui), Lizzie Wynn (Lan), Wendy Turner (ER Nurse), Carlos Linares (Janitor), Linda Klein (Nurse Linda), Jane Le (Pam), Janet Haley (Waitress), Holly Daniels (Sandy), Carol Avery (Sue)

Sean tries curing his insomnia using unusual methods. Meanwhile, Liz confronts Christian, and hands some unsolicited advice to Kimber.



84 :06x03 - Briggitte Reinholt

First aired: Oct/28/2009
Writer: Sean Jablonski
Director: Dirk Wallace Craft
Guest star: Rose McGowan (Dr. Theodora 'Teddy' Rowe), Sumalee Montano (Dr. Wu), Scott Atkinson (Steve O'Brian), Julio Oscar Mechoso (Hans), Kelsey Lynn Batelaan (Annie McNamara), Lee Garlington (Briggitte Reinholt), Mario López (Dr. Mike Hamoui), Michael Vandyke (Insurance Tech), Pamela Donnelly (Patti O'Brien), Travis Willingham (Big Jane), Linda Klein (Nurse Linda), Price Carson (Coroner)

Sean doesn't consult family or friends before making an impulsive life change. A morose Annie makes a stop in New York with a disturbing medical condition. Mike is offered advice from Christian on how to satisfy Kimber and a new patient recognizes Teddy from her past.



85 :06x04 - Jenny Juggs

First aired: Nov/04/2009
Writer: Jennifer Salt
Director: Jesse Bochco
Guest star: Rose McGowan (Dr. Theodora 'Teddy' Rowe), Kiersten Warren (Jenny Juggs), Natsuko Ohama (Mrs. Park), Doug Scott Kramer (Mojo (as Doug Kramer)), Kelsey Lynn Batelaan (Annie McNamara), Tom Wright (Detective Albert Chavies), Matthew Glave (Jerry), Lorin Eric Salm (Mime #3), Felix Ryan (Mime #2 (as Felix Alakheryan)), Hal Dion (Mime #1), Jonathan Spencer (Chick), Linda Klein (Nurse Linda), Natasha Goss (Vi), Cal Bartlett (Miles)

Christian's patient is dealing with anger management issues. Sean and Christian discover how Matt earns an income. Teddy arranges a camping trip with Sean, Annie and Conor.



86 :06x05 - Abigail Sullivan

First aired: Nov/11/2009
Writer: Brad Falchuk
Director: John Scott
Guest star: Rose McGowan (Dr. Theodora 'Teddy' Rowe), Jose Zuniga (Detective Cyrus), Kelsey Lynn Batelaan (Annie McNamara), Amy Farrington (Abigail Sullivan), Matthew Glave (Jerry), Dakotah Massét (Dr. Faulk), Linda Klein (Nurse Linda), Preston James Hillier (Detective), Eben Ham (Cop)

Matt's recent crime spree begins to catch up with him as Julia returns from New York to help him recover from his surgery. Meanwhile, Sean receives devistating news about his marriage, and a patient suffers from separation anxiety.



87 :06x06 - Alexis Stone

First aired: Nov/18/2009
Writer: Hank Chilton
Director: Tim Hunter
Guest star: Vanessa Redgrave (Dr. Erica Noughton), Kelsey Lynn Batelaan (Annie McNamara), Gilles G. Marini (Renaldo Panettiere), Candis Cayne (Alexis Stone), Mario López (Dr. Mike Hamoui), Linda Klein (Nurse Linda)

Erica gets married and threatens to try to win custody of Annie and Connor. This leads Sean and Julia to put forward a happy front in order to stop her custody efforts. Meanwhile, Christian bonds with a patient, and Mike tells Kimber about his plans.



88 :06x07 - Alexis Stone II

First aired: Nov/25/2009
Writer: Ryan Murphy
Director: John Scott
Guest star: Vanessa Redgrave (Dr. Erica Noughton), Tina Lifford (Warden DeMarco), Matt Roth (Frank), Patrick Kilpatrick (Denny Kessler), Kelsey Lynn Batelaan (Annie McNamara), Gilles G. Marini (Renaldo Panettiere), Candis Cayne (Alexis Stone), Keely Watson (Airport Police Officer #2), Carter MacIntyre (Warren), Linda Klein (Nurse Linda), Travis Johns (Oswald), Peter Gannon (Corrections Officer), Eddie Ebell (Airport Police Officer #1), Vance Cefalu (TSA Agent (as Vince Cefalu))

Matt and Alexis both go to Christian asking for unusual procedures to be done. Erica learns the truth about her new husband, as Julia plots revenge on her mother.



89 :06x08 - Lola Wlodkowski

First aired: Dec/02/2009
Writer: Lynnie Greene, Richard Levine
Director: Eric Stoltz



90 :06x09 - Benny Nilsson

First aired: Dec/09/2009
Writer: Sean Jablonski
Director: John Scott
Guest star: Chad Todhunter (Jay), Hans Tester (Bjorn Anderson), Luke Stratte-McClure (Benny Anderson), Neil Hopkins (Brendan McNamara), Erin Cummings (Jessie)

Christian's debt begins to grow, leading him to deception in order to try to get out of it. Meanwhile, an unexpected visitor brings out Christian's insecurities, but elates Sean; and Christian bonds witha patient about to be adopted.



91 :06x10 - Wesley Clovis

First aired: Dec/16/2009
Writer: Jennifer Salt
Director: Tate Donovan

Sean faces a moral dilemma when McNamara/Troy is asked to perform a surgery on a prison inmate. Meanwhile, Kimber debates how far to go to keep Christian.



92 :06x11 - Dan Daley

First aired: Jan/06/2010
Writer: Ryan Murphy
Director: Elodie Keene
Guest star: Andrew J. West (Young Christian), Brad Thorne (Young Curtis), Sheetal Sheth (Aria), Sarah Scott (Young Julia), Michelle Pascarella (Valerie), George Newbern (Dr. Curtis Ryerson), Guy Killum (U.S. Marshal), Shea Curry (Rebecca), Rachel Montez Collins (Bartender)

Sean and Christian are given an award from their alma mater, leading Sean to reminise about his years in college. Meanwhile, a self-mutilating patient comes to McNamara/Troy for reconstructive surgery.



93 :06x12 - Willow Banks

First aired: Jan/13/2010
Writer: Brad Falchuk
Director: Tim Hunter
Guest star: Victor Cruz (Latino Guy), Vanessa Ross (Platform Dancer)

Christian refuses to perform surgery on a patient who wants drastic work done. Meanwhile, a patient awakes from a long coma and asks Sean to perform surgery to regain his lost years.



94 :06x13 - Joel Seabrook

First aired: Jan/20/2010
Writer: Hank Chilton
Director: Tate Donovan
Guest star: Tim Guinee (Joel Seabrook), Mario López (Dr. Mike Hamoui), Tony Tambi (Nsolo), George Newbern (Dr. Curtis Ryerson), Greg Ellis (Adam Wise), Linda Klein (Nurse Linda)

Following a failed suicide attempt, a new patient seeks facial reconstructive surgery. Christian tries a risky maneuver with Kimber to heighten their marital passion. Sean performs pro-bono surgery with a charitable surgeon and former college friend in an attempt to quell his guilty conscious.



95 :06x14 - Sheila Carlton

First aired: Jan/27/2010
Writer: Lynnie Greene, Richard Levine
Director: Craig Zisk
Guest star: Melanie Griffith (Brandie Henry), Frances Conroy (Jane), George Newbern (Dr. Curtis Ryerson), Tony Tambi (Nsolo), Robin Thomas (Les Overmyer), Christine Estabrook (Sheila Carlton), Christine Adams (Dr. Sarah Kwinda), Linda Klein (Nurse Linda), Rebekah Ryan (Nurse Mallory)

Christian has a crisis of conscience when Kimber's mother Brandy visits Los Angeles. Complications arise as Sean prepares for his trip to Africa. A patient requires multiple cosmetic procedures after suffering an attack by a wild animal.



96 :06x15 - Virginia Hayes

First aired: Feb/03/2010
Writer: Hank Chilton
Director: Hank Chilton
Guest star: Marlon Young (Agent Ryan), Ivar Brogger (Agent Reynolds), Sandra Vergara (Aurelia Gallardo), Tamara Clatterbuck (Virginia Hayes), Kate Norby (Marcy Hamill / 'Virginia Hayes'), Robert LaSardo (Escobar Gallardo), Morry Schorr (Pharmacist), Linda Klein (Nurse Linda)

The teenage daughter of Escobar Gallardo seeks out Sean and Christian for answers about her late father, stirring tremendous guilt within Sean. A seemingly common cosmetic procedure for a struggling actress leads to chaos.x



97 :06x16 - Dr. Griffin

First aired: Feb/10/2010
Writer: Jennifer Salt
Director: Tim Hunter
Guest star: Daniel Benzali (Dr. Griffin), Elaine Kagan (Dr. Karen Singer), Melonie Diaz (Ramona), Brian Howe (Ron Mark), Molly Price (Dahlia Mark), Linda Klein (Nurse Linda)



98 :06x17 - Christian Troy II

First aired: Feb/17/2010
Writer: Sean Jablonski
Director: Diana Valentine
Guest star: Joan Rivers (Herself), Joan Van Ark (Annette Wainwright), Donna Mills (Lulu Grandiron), Robert Davi (Christian's Dad), Concetta Tomei (Maureen Ayers), Dick Gautier (Marshall Ayers), Rowena King (Jill Jacobson), Lesley Fera (Daniella Creighton), George Newbern (Dr. Curtis Ryerson), Evelyn Dubuc (Female Patient), Linda Klein (Nurse Linda), Candice Candelori (Secretary), Boo Arnold (Edward Creighton)



99 :06x18 - Edith and Walter Krieger

First aired: Feb/24/2010
Writer: Brad Falchuk
Director: Dirk Wallace Craft
Guest star: Famke Janssen (Ava Moore), Amy Pietz (Allison Krieger), Harold Gould (Walter Krieger), Kelsey Lynn Batelaan (Annie McNamara), Melonie Diaz (Ramona), Hildy Brooks (Edith Krieger), Bryna Weiss (Leena Gold), Bridget Sienna (Celia Perez), Linda Klein (Nurse Linda), Ruben Garfias (Pedro Perez), Cary Hungerford (Young Walter Krieger), Al Vicente (Young Husband), Lorena Mena (Young Wife)

Julia visits Sean and Christian in Los Angeles to share life-changing news -- and rejects romantic advances from both men. A great love from Matt's past who has caused immeasurable family chaos turns up as Matt prepares to marry Ramona. Liz reveals that she's happily pregnant.



100 :06x19 - Hiro Yoshimura

First aired: Mar/03/2010
Writer: Ryan Murphy
Director: John Scott
Guest star: Famke Janssen (Ava Moore), Kelsey Lynn Batelaan (Annie McNamara), Candace Kita (Kei), Michelle Krusiec (Mei), Koji Kataoka (Hiro Yoshimura), Melonie Diaz (Ramona), Lena Austin Todd (Jenna), Hidekun Hah (Japanese Stud), William Dale Tinsley (Bartender (as William Tinsley)), Linda Klein (Nurse Linda), Joshua Henry (Wilber), Josiah Henry (Wilber), Treisa Gary (Security Guard), Sara Wells (Hot Blonde)