Addison has a fancy new haircut, but it's sleek sheen and clean lines just add to her God complex. Oh, who are we kidding, it's not a complex, she is the Deity-in-Chief of the Church of Addison. A messiah with a scalpel, and she means business. Especially when her disciples speak the blasphemy of "second opinions" and "non-surgical options." And don't even get her started on the start-up Beelzebub known as Dr. Wyatt. When he intercedes in her patient's care, all hell breaks loose. But he does think Addison's hot, so that's something.
Meanwhile, Dell has a crazy new idea for bringing in business for the practice: Adoptions! When he suggests matching their patients who want to give up their babies with other patients who are desperate for babies, no one can think of a good reason why not. And that is crazy.
Cooper and Charlotte temporarily play nice when Charlotte upchucks for the better part of the episode. Turns out it wasn't pregnancy, it was the lobster! And it wasn't reconciliation, it was just wavering.
Sam and Pete poach a Fake Lance Armstrong from Charlotte's breakfast buffet and retrofit him to regain his ride and make some victor's spoils. Fake Lance wins the race, but loses the whole living thing. Pete is humbled, but Sam is inspired to finally learn to ride a bike.
Violet is so lonely that she jumps at the chance to go out with Mr. Helpful, the therapist from Charlotte's practice. The date ends limply (heh), but her sadness meets its match in Pete. And that's not the only part of them that are meeting. Sorry, Meg! Looks like you'll be shipping back to Malawi after all!
Addison has taken the time out of her busy schedule of proselytizing and suturing to get a sleek new haircut. But neither Violet nor Naomi comments because they are too busy commenting on their lack of sex. And, yes, all girls talk about is sex and haircuts. Addison misses sex because Kevin was, you know, shot, and thus not performing his sole function. So she misses sex and dares to mention it in front of Violet who hasn't had any since 1983 and Naomi who was sleeping with Addison's brother until Addison kicked him back to WASP heaven. Yet she complains. So Violet has no choice but to kick her in the vajayjay and walk away. Actually the ladies return from their coffee sojourn to be greeted by Charlotte King and her really big sign. Charlotte's sign is advertising California's Premiere Doctor Cooperative and Free Breakfast Buffet. I'm not even making up the breakfast buffet.
Sam and Pete are enjoying the fine offerings of the breakfast buffet (all you can eat, yo!) and wishing they had thought of it first. Well, Sam was enjoying and bemoaning the loss of the Fourth Floor of Dreams simultaneously. It was their lack of money that drove them to take part in Charlotte's nefarious waffle bar! Like in an 80s prom scene, Violet's erstwhile psychotherapist friend from the elevator, Mr. Helpful, moves across the floor, parts the crowd, and introduces himself to Sam. Mr. Helpful asks whether or not Violet is single. Pete looks hostile, but Sam shrugs, "Yeah she's single." Mr. Helpful looks hopeful, giggles to himself and rubs his hands together, hatching a plan. Pete Can. Not. Believe. That Sam told him Violet was single. Pete gets cavemannish and starts grunting about how Violet is one of their women and these barbarians already took their floor. They can't have their women too! Sam shrugs, "Yeah, you're jealous." I knew the Pete Violet match up was inevitable and all, but I didn't expect Pete to drag her by the hair back to his cave.
Addison and her very sleek and shiny hair go to meet her new patient. And...is it? So soon? It is! It's the Drama of the Week! A corporate woman sits in a chair texting feverishly on a BlackBerry about her hotel's renovations. When she finishes her text, she looks up and, whoa, is that Andie from Dawson's Creek? Ack, having MightyBigTV flashbacks. Addison gives Andie the bad news from behind her desk. Actually she gives her half the bad news from behind the desk: Her ovarian biopsy was positive for cancer. Then she gets up, comes to sit on the front of the desk, smoothes her hair and tells Andie that her left ovary had cancer, too. So she has stage 2 ovarian cancer. Andie swallows deeply, takes a big breath, and then they agree to treat the cancer aggressively. Addison smoothes her hair some more, flips a stray whisp back, and suggests removing her ovaries and uterus next week. Andie flips out at that and demands a second opinion, because all she has ever wanted in life is children. As a surgeon (and a demi-deity) Addison knows that a hysterectomy is the right thing to do despite her desire to have kids. Andie replies that as a surgeon all Addison wants to do is cut, but she wants a second opinion. Amen to that, Andie, amen.