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.