Tragedy strikes the McNamara/Troy family after Julia learns what has caused her ill health. A visitor from Christian’s past brings revealing news. Sean finds the price of fame to be more expensive than it’s worth.

Sean experiences the ugly side of Hollywood in the form of a television critic. Matt experiences a special bond with one of Christian’s patients. The cause of Julia’s ailing health is discovered.

Eden looks to Sean for help after getting into business with Kimber and Ram. A group of wealthy socialites hire Christian for all of their cosmetic surgery needs. Sean discovers another side of Colleen.

Christian attempts to cope in the aftermath of a death. Colleen feels threatened when another talent agency shows an interest in Sean’s acting career. The docs operate on a young man with disturbing wounds from his honeymoon.

Sean’s role on Hearts & Scalpels is expanded after he takes on an agent. A suspicious Christian questions Gina’s motives for moving to Los Angeles and working at McNamara/Troy.

As Julia’s health worsens, Christian falls back into old habits. Sean hires Gina as the new receptionist at McNamara/Troy in order to get back at Christian. Dawn Budge returns to McNamara/Troy after another unfortunate incident which requires cosmetic surgery.

Sean discovers the secret between Christian and Julia. A hospitalized Matt bonds with his rehabilitation counselor. Eden suspiciously makes peace with Julia. Kimber and Ram reveal their future plans.

Sean tries to regain his youth through his relationship with Eden. A violent and traumatic event causes Julia to question her relationship with Olivia. In an effort to better her life, Kimber makes a decision that devastates Matt.

Jealous over Sean’s new-found fame, Christian convinces Sean to tape a reality show based on their careers as plastic surgeons.

A patient inspires Sean to take his relationship with Kate in a new direction. Eden uses extreme methods to persuade Christian to perform surgery on a friend. Kimber reaches out to a former business associate when she and Matt fall on hard times.