Outspoken Roz reveals a shocking desire to her husband, which threatens their sex life... for at least a few weeks. Mother of four Tiffany decides it's time for a makeover, and ugly duckling Iris embarks on a journey to discover the beauty she has been in search of since she was a child.

When football defensive end Mike unveils his undersized package, Dr. Crawford has to deliver some tough news. Meanwhile, Dr. Baron undertakes an important surgery for her first ever transgender patient Vladimere. Shay visits Dr. Jones with her boyfriend, in the hope that she can rid herself of the trash bags she uses as cover-up and rejuvenate her relationship with the body she has always dreamt of.

Dr. Baron takes on subdued patient Danielle whose life has left her in need of physical and emotional upgrades, but a simple operation could be the key to her future happiness.

This week, Doctors Crawford and Baron are on opposite sides of the spectrum as Dr. Crawford takes on Mimi, a patient in need of a major breast reduction while his partner Dr. Baron works to enhance the chest of outrageous internet transgender sensation Sidney Favors.

Atlanta stylist Joseph visits Dr. Jones in the hopes of getting rid of his man-boobs and finally becoming "South Beach ready." Meanwhile, Dr. Crawford is performing double duty this week as he toggles between Brandon, a patient whose painful childhood has resulted in a hatred of his entire body.

Dr. Jones meets Prince, a Michael Jackson impersonator who just can't get beyond the man in the mirror. His nose is a painful reminder of his difficult father and he is ready for a change. Meanwhile, sisters Shari and Michelle visit Dr. Crawford and Dr. Baron and decide to have the same surgery on the same day.

Victoria's breasts are self-described as "negative A-cup" and she is begging Dr. Baron to make them bigger. Things are very different in the next room as new patient Annie unleashes her Guinness World Record breaking breasts on Dr. Crawford.

Dr. Baron has a busy operating room with two new patients: Nicole, whose dramatic weight loss has left her with sagging skin that resembles bat wings; and Iraq veteran, Arica, who wants help getting her body back after returning from war and subsequently giving her mother a kidney.