Elliot realises that nothing good has happened to her since she began work at the Sacred Heart hospital, so she gives herself a drastic makeover, both inside and out in the hope that the new Elliot will have more luck.

JD finds out that Turk is scared about opening up to him as Turk and Carla make preparations for their wedding. Elliot commits herself to getting back together with her ex-boyfriend.

When J.D. asks for help teaching interns, Sean shares some of the training tips he picked up at Sea World. Dr. Cox finds the perfect pediatrician for his son.

Discovering Elliot and JD's history together surprises and upsets Sean, while the situation sees JD admit his feelings. After choosing to run for the residency director position at the hospital, Dr Cox reluctantly seeks help.

After getting kicked out of home, Dan chooses to stay with JD for a while, but he grows increasingly disillusioned with the cynic his little brother has turned into. Carla and Elliot do some extra work at a veterinary clinic.

Carla's brother remains upset that Turk mistook him for a valet at their mother's funeral, but Turk struggles to apologise. JD discusses how he feels about Elliot following Danni's continued dialogue about her ex.

JD is forced to spend more time with Dr Cox as his relationship with Danni progresses, and Dr Kelso punctures his eardrums, giving the staff an opportunity to tell him how they really feel about him.

Elliot struggles to find her defining moment after Turk performs his first solo surgery. While trying to prove that he still has the body of a 20-year-old, Dr Cox hurts his back when trying to dunk a basketball on Turk's head.

Elliot's feeling uncomfortable using clinical terms for her patient's private parts, a result of a repressed childhood and an accidental orgasm she inflicted on a patient during a pelvic exam.

Turk refuses to perform a liver transplant on Cox's patient, and Carla and Elliot try to grant the dying wish of a woman who wants to lose her virginity by finding her a man.

JD tries to break up with Danni, but she beats him to it when she realises that she will always be second place to Elliot in his heart. Dr Cox suddenly becomes a nice guy and Elliot changes back to her old self after Dr Kelso criticises her new look.

JD believes Kevin Casey, a surgeon with obsessive compulsive disorder, may be the mentor he's been looking for. Kelso gets some assistance in dealing with a garbage problem from Janitor and his new assistant.