Sean and Julia's marriage is tested when Julia discovers she is pregnant, a surprise that could potentially derail her plans to become a doctor. After discovering him having sex with a patient in his office, Grace suggests Christian attend a Sexaholics Anonymous session. At the group, Christian encounters sex addict Gina Russo (guest star Jessalyn Gilsig), who he seduces into bed. A white man requests plastic surgery on his eyes in order to please the conservative parents of his Japanese fiancée. A middle-aged woman (guest star Gabrielle Carteris) requests a nose job following a bad car accident, but Christian and Grace have suspicions over her story. Guest starring Don McManus, Phillip Rhys, Brenda Strong and Roma Maffia.