Dr. Meegan Gruber specializes in performing surgery while patients are completely awake. Derrick orders lunch while getting his man boobs removed, Genny has a request to get rid of both of her chins and Megan needs surgery to fix her ballsack arms.

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.

A mother-of-eight stuns when she arrives with a hip condition unlike 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.