A priest is genitally mutilated during a mugging; a patient dies after a routine liposuction; Jeffrey refuses to perform surgery on a child.

A heart becomes available for transplant, but there are two patients waiting and Drs. Geiger and Watters must choose which patient will receive the heart. Jeffrey tries to place Alicia into an exclusive kindergarten. Aaron tries to hold a welcoming party for the new doctors.

Dr. Alberghetti performs a surgery with another surgeon, who is in Sri Lanka.

Keith discovers a heart murmer while giving Alicia a physical. Jeremy performs an appendectomy on Siamese twins.