Dr. Meegan Gruber faces the most daunting awake surgery of her career -- removing a giant hanging stomach. Meanwhile, Jason looks for a butt lift to help him scandalize all of Kentucky, and a patient calls her psychic mid-surgery.

Mother-of-eight Rubi stuns Dr. Meegan Gruber when she arrives with a hip condition unlike anything the doctor's ever seen. Then, Ashley requests to have her "bat wings" clipped, and Jim seeks a solution for a giant neck that's swallowing his jawline.