The day of the wedding Turk picks up an extra shift at the hospital to get some extra time off for his honeymoon. Inevitably, what should be a very simple procedure turns into a life and death situation when Turk discovers complications with his patient and he gets stuck at the hospital. Meanwhile, a very stressed out Carla tries to manage the situation at the church while her groom is missing, her brother Mark continues to antagonize her, and her guests are becoming unnerving. After telling Elliot he is not in love with her, JD tries to put together the broken pieces of their friendship by getting Sean back together with Elliot.