Suffering from loneliness himself, Sean sympathizes with a forlorn client, Diana Lubey (Catherine Deneuve), and agrees to her perverse plastic surgery request. Meanwhile, Christian proposes marriage to Michelle (recurring guest star Sanaa Lathan), but his promiscuous past causes him to question his ability to make a long-term commitment to any woman. And James (recurring guest star Jacqueline Bisset) concocts a plan to use McNamara/Troy's operating room for her own benefit. Recurring guest star Brooke Shields appears as Dr. Faith Wolper. Recurring guest star Mario Lopez appears as Dr. Mike Hamoui. Recurring guest star Rebecca Gayheart appears as Natasha Charles. Recurring guest star Rebecca Metz appears as Abby Mays. Brenda Vaccaro appears as Beatrice.