ulia McNamara gets a surprise visit from her glamorous mother, successful child psychology author Dr. Erica Noughton, who has various reasons to want plastic surgery and insists that Sean should operate her; that even worsens his worries about an unsteady hand, and the specialist tells him it's a fashionable psychosomatic condition without a medical cure. Christian wrestles with his instincts- while resenting Gina Russo emotionally blackmailing him with her baby, he is determined to become a good father, but swears to keep his mundane (sex-)life, so he looks for a nanny and hires Linda, the candidate with the sexiest 'fringe-benefits', but finds she's neglecting the child... Meanwhile the doctors operate on Libby Zucker, whose face is so horrible she'll need at least five major, risky operations and is most uncertain in her 'steady' relationship with attractive Chad Myers who she knows to have affairs.

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