He tells her that his calendar is filled up and can't do anything for her. Troy tells him he can't do it without Sean's consent.Р”Р„t the office, a mother of a burn victim desperately tries to get Sean to do surgery on her son. Later in the day Matt, who is supposed to be at school, talks to Troy about getting circumcised while on Troy's boat, the BOATOX. At breakfast Annie and Matt talk about alligators and how their father never listens. He informs her that Annie is getting a gerbil even though she forbade it a week ago. He gives her his medical opinion, but not personal. At the McNamara household Julia asks for his opinion on her breasts. Troy tells her that she is 26 and that she could be perfect with a little work done. The next morning Kimber tells Troy that she is 21 and she thinks she is perfect.

Both are uninterested, as Julia thinks about the grocery list and Sean thinks about firing Julio, the gardener. They go off and have sex while at his house, McNamara has sex with his wife Julia. Troy goes to a bar and tries to pick up Kimber, a blonde model, but she is uninterested until she hears he's a doctor. Perez finally offers $300,000 for the procedure to which Troy agrees. McNamara enters and Troy lies and secretly tells the brothers in Spanish that it will cost $30,000. He then offers $20,000 for the procedure. Perez explains in English that he touched his boss's daughter. They tell him that Perez wants to get ladies, but Troy sees though this and demands to know the truth. Before he leaves McNamara informs Troy that he put the implant in upside down.

McNamara arrives and switches cause Troy can speak the language. Meanwhile, Christian Troy is performing a butt implant. In his office, Sean McNamara tries to do a consult with Alejandro and Perez, but Perez only speaks Spanish. Sean's family life is also in upheaval, and he is headed for a mid-life crisis. Their relationship is under fire after Christian operates on a Colombian drug lord who pays him in drug money. Old friends Sean (the family man) and Christian (the playboy) are partners in a plastic surgery office.

Watch nip tuck season 1 episode 1