Doug tries to convince George to operate on his dog, and Angela sells off Rizzo's artwork.

George must save the life of his mother's cat or face terrible consequences: spending time with her.

George begins to feel threatened with Jill's strong new presence at the hospital. Annoyed by this increasing competition, George attempts to sabotage one of Jill's operations. Meanwhile, Dorothy takes on judging Crane Animal Hospital's Halloween pet costume contest and struggles with the temptation to take a bribe.

Dr. George Coleman and Dorothy Crane disagree on how best to deal with an overweight dog, “Ralphie,” and the over-indulging owner who is over-feeding him. George prefers threats and humiliation while Dorothy prefers a gentler approach. Meanwhile, Dorothy establishes a weekly “snack & chat,” which conflicts with the guys’ poker night.