Dana's former beauty queen patient doesn't think her husband finds her attractive and insists on having extensive plastic surgery. Dana refuses to perform the surgery but when Terri Ann lands in the ER, she begins to doubt her decision. Peter tries to figure out why a transvestal is having side effects of menopause and counsels Marc about one of the stickier issues of adolescence. Lu and Lana try to find an appropriate punishment for two young teenagers who spray graffiti outside the hospital.

Dana Stowe must help a family consider if they should take Scarlett off of life support because of the disease she has. Scarlett has expressed to her husband that she does want life support, however her mom says her daughter doesn't want life support.

Dr. Lu Delgado tries to help a Mom understand that she didn't prescribe medicine to help her daughter speak after not hearing anything from her daughter in two years.

Dana tries to comebat her fear of flying and needs to do deliver a baby from 3,000 feet in the air.