A woman who thinks she looks like Sponge Bob, wants to look good in round pants; Cathleen shoots a talk show pilot and Lexington Plastic Surgeons launches a search for the Ideal Butt Model.

The wife of a hip hop legend comes for a breast augmentation and stays for corrective surgery; the Ideal Butt Model semifinalists are chosen.

Construction trouble at the D.C. practice won't stop a patient with more than surgery on her mind; Cathleen finds a new clue about her biological family.