When Burger the dachshund comes to the V.E.C. with back pain, Dr. Debbie James gets him to surgery to prevent paralysis. Dr. James also receives a Bengal cat named Simba and repairs Saint Bernard puppy Harley's spine.

When a disoriented cat named Willow is brought into the V.E.C., Dr. James fears the worst, deaf Dalmatian Snickers displays chaotic running patterns and seizures and Goldendoodle puppy Casey needs stubborn baby teeth removed to prevent complications.

Swallowed coins could be giving Elvira the alligator toxicity leading to restricted jaw mobility, Dr. Ringwood needs to repair the knee of a Lhatese named Gizmo to prevent arthritis and Tandi the Golden Retriever seeks sweet relief from her itchy skin.