Dr. Sean McNamara (series star DYLAN WALSH) and Dr. Christian Troy (series star JULIAN McMAHON) are plastic surgeons, best friends and business partners who run McNamara/Troy, a prominent South Beach practice. A seemingly conservative family man, Sean has come to realize that his financial success and perfect home can no longer mask the problems of his marriage. On the other hand, single and often promiscuous Christian has few inhibitions and enjoys the benefits of his lucrative career and good looks, even as he yearns to have a family of his own. Sean's marriage to disillusioned Julia (series star JOELY RICHARDSON) is crumbling, and his relationship with his 18-year-old son, Matt (series star JOHN HENSLEY--not appearing in this episode), is troubled and tense. Dr. Liz Cruz (series star ROMA MAFFIA) is the team's opinionated anesthesiologist.

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 (KATHY LAMKIN) 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.

Also appearing are series star BRUNO CAMPOS as Dr. Quentin Costa and series star KELLY CARLSON as Kimber Henry, Christian's girlfriend.

Not appearing in this episode is series star JESSALYN GILSIG as Gina Russo, Christian's sexaholic ex-girlfriend.

Written by: Ryan Murphy
Directed by: Elodie Keene
U.S. Broadcast Premiere: 20-Sep-2005

Christian and Liz perform cosmetic surgery on an extraordinary ape to help her chances of reproducing. After learning that Ava (recurring guest star FAMKE JANSSEN) is a transgender 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.

Written by: Lyn Greene and Richard Levine
Directed by: Elodie Keene
U.S. Broadcast Premiere: 27-Sep-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 (recurring guest star RHONA MITRA)--the sexy detective investigating the Carver's activities--and Kimber loses its appeal, Christian asks Quentin to help ease Kit out of the threesome.

Written by: Brad Falchuk
Directed by: Craig Zisk
U.S. Broadcast Premiere: 04-Oct-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.

Written by: Jennifer Salt
Directed by: Greer Shephard
U.S. Broadcast Premiere: 11-Oct-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.

Written by: Sean Jablonski
Directed by: Jeremy Podeswa
U.S. Broadcast Premiere: 18-Oct-2005

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.

Written by: Hank Chilton
Directed by: Michael M. Robin
U.S. Broadcast Premiere: 25-Oct-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, Nikki Morretti (recurring guest star ANNE HECHE), and her son, Austin (recurring guest star TANNER RICHIE). 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. JOAN RIVERS guest stars as herself.

Written by: Lyn Greene and Richard Levine
Directed by: Jeremy Podeswa
U.S. Broadcast Premiere: 01-Nov-2005

Sean questions his growing romantic feelings for Nikki (recurring guest star ANNE HECHE) 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 (recurring guest star KATHY BAKER). Quentin woos Julia, who welcomes the attention

Written by: Brad Falchuk
Directed by: Guy Ferland
U.S. Broadcast Premiere: 08-Nov-2005

The working relationship between Christian and Quentin worsens when they have an ethical disagreement over a groundbreaking surgery that would advance their medical reputations. Sean doesn't want Nikki (recurring guest star ANNE HECHE) to disappear into the Witness Protection Program without him. Christian gives Kimber a prenuptial ultimatum: give up her career in adult films or end their engagement.

Written by: Sean Jablonski
Directed by: Michael M. Robin
U.S. Broadcast Premiere: 15-Nov-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, Ariel Alderman (recurring guest star BRITTANY SNOW - "American Dreams," "The Pacifier"), reveals her racist beliefs.

Written by: Jennifer Salt
Directed by: Greg Yaitanes
U.S. Broadcast Premiere: 22-Nov-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 fears that Matt may be linked to a series of hate crimes against former plastic surgery patients.

Written by: Hank Chilton
Directed by: Michael M. Robin
U.S. Broadcast Premiere: 29-Nov-2005

A jet bound from Miami to New York crashes after takeoff--and Julia's mother, Erica (recurring guest star VANESSA REDGRAVE), may be on board. Christian, Sean, Liz and Julia struggle to save the lives of surviving passengers, and Sean must amputate the arms of one of the crash victims.

Written by: Lyn Greene and Richard Levine
Directed by: David Nutter
U.S. Broadcast Premiere: 06-Dec-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 family's lives. Ariel (recurring guest star BRITTANY SNOW) asks Matt to help her take drastic measures to alter her appearance.

Written by: Sean Jablonski and Jennifer Salt
Directed by: Greer Shephard
U.S. Broadcast Premiere: 13-Dec-2005

Christian learns the truth about Kimber's wedding-day disappearance when he receives a grisly clue from The Carver. Detective Kit McGraw (recurring guest star RHONA MITRA) brings Carver suspect Quentin in for questioning. Cherry (recurring guest star WILLAM BELLI), the transgender woman whom Matt brutally beat, threatens to tell the police about her attacker unless Sean performs pro-bono plastic surgery. Julia's worries about her unexpected pregnancy give her a nightmare.

Written by: Brad Falchuk and Hank Chilton
Directed by: Craig Zisk
U.S. Broadcast Premiere: 20-Dec-2005

In the season finale written and directed by series creator Ryan Murphy, The Carver goes on a slashing binge and attacks a sorority house as Kit (recurring guest star RHONA MITRA) grows closer to catching her nemesis. Sean, Christian, Matt and Cherry Peck (recurring guest star WILLAM BELLI) are involved in separate games of torture. Julia makes a discovery about her pregnancy. And the identity of The Carver is finally revealed.

Written by: Ryan Murphy
Directed by: Ryan Murphy
U.S. Broadcast Premiere: 20-Dec-2005