Jeffrey strongly objects when his old nemesis is hired into the plastic surgery department, but they are able to set aside their differences to bring some peace to the mother of a young girl who dies during surgery; a nurse impedes Aaron's plan to allow Karen to die peacefully.

Kate lobbies for another heart for a prominent author whose first transplanted organ is failing and who also has a continuing heroin addiction. McNeil's gambling problem grows worse. Danny Nyland becomes a patient when he runs into a telephone pole with his car.

Dr. Kronk must decide whether or not to grant the request of a convicted child molester who wants to be castrated. Dr. Shutt struggles to regain his health after his aneurism. McNeil refuses an ""easy cure"" to a heroin addict, and Dr. Grad treats an HIV positive 14-year-old.

A widow wants to be impregnated with the sperm of her former husband. Rats take over the hospital.