Sean is shocked Christian, who operates a patient with hospital phobia whose fingers got severed, switched middle- and index finger and didn't even admit it when Liz pointed the error out. Christian now completely loses his professional self-respect. Megan's doctor warns her the benefits of treatments no longer outweigh the contras; she is tired of fighting and decides after throwing up in a fancy restaurant she wants euthanasia. Sumner Charles asks a scrotum lift, his fiancé?Mrs. Grubman a vaginal rejuvenation, and demands both under her free deal but Sean must do her. Both surgeons must take an official 10-yearly test, as does Merril Bobolit, on cadaver heads; Troy fears he'll fail because his, an old lady, is too small, so Sean suggests he practices- hearing about a similar woman's recent accident, he goes to the morgue for the Jane Doe- the night clerk allows it in exchange for a chin job. Sean imagines his cadaver head starts talking to him about Megan and Julia, which convinces him to help Megan commit suicide pain-free by OD, but then guilt ruins his concentration so he walks out at the exam: fighter Christian passes, he the perfectionist fails. After Megans memorial service, Sean confirms Julias suspicions they had an affair- she says she couldn't actually commit her intended fidelity, and is too heart-broken to take him back.