Sean discovers that Julia has been faking her orgasms, and asks Christian for sex advice. He also encounters Ava Moore (guest star Famke Janssen), a life coach, and recommends she talk to Julia about her recent stress. Ava suggests that Erica (guest star Vanessa Redgrave) is at the root of Julia's problems and should be cut out of her life. Gina (guest star Jessalyn Gilsig) tells Christian she wants another baby, and wants him to be the birth father. A Somalian woman wants a clitoral reconstruction after undergoing genital mutilation. The operation is a success, and Christian decides he's the best person to give her an orgasm. A young man, Elias (guest star Michael Robert Brandon), who cannot produce hair follicles on his body, requests hair implants. Guest starring Georg Stanford Brown.